Provider Demographics
NPI:1558768259
Name:STARR COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:STARR COUNTY HOSPITAL DISTRICT
Other - Org Name:WINDSOR ATRIUM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-487-5561
Mailing Address - Street 1:1814 ATRIUM PLACE DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-2583
Mailing Address - Country:US
Mailing Address - Phone:956-230-2300
Mailing Address - Fax:956-230-0222
Practice Address - Street 1:1814 ATRIUM PLACE DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-2583
Practice Address - Country:US
Practice Address - Phone:956-399-3732
Practice Address - Fax:956-399-2723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-24
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX377818501Medicaid
TX4539Medicaid
TX001028576Medicaid
TX001027463Medicaid
TX001027463Medicaid