Provider Demographics
NPI:1407255110
Name:STRATFORD HOSPITAL DISTRICT D/B/A BORGER HEALTHCARE CENTER
Entity Type:Organization
Organization Name:STRATFORD HOSPITAL DISTRICT D/B/A BORGER HEALTHCARE CENTER
Other - Org Name:BORGER HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, SHD BOARD OF DIRECTORS
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-396-5568
Mailing Address - Street 1:PO BOX 1189
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:TX
Mailing Address - Zip Code:79084-1189
Mailing Address - Country:US
Mailing Address - Phone:806-396-5568
Mailing Address - Fax:806-396-5930
Practice Address - Street 1:1316 S FLORIDA ST
Practice Address - Street 2:
Practice Address - City:BORGER
Practice Address - State:TX
Practice Address - Zip Code:79007-6306
Practice Address - Country:US
Practice Address - Phone:806-396-5568
Practice Address - Fax:806-396-5930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5044314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility