Provider Demographics
NPI:1558775387
Name:STRATFORD HOSPITAL DISTRICT D/B/A HILL COUNTRY CARE CENTER
Entity Type:Organization
Organization Name:STRATFORD HOSPITAL DISTRICT D/B/A HILL COUNTRY CARE CENTER
Other - Org Name:HILL COUNTRY CARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:HOSPITAL DISTRICT CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LNFA
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:
Practice Address - Street 1:111 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:JUNCTION
Practice Address - State:TX
Practice Address - Zip Code:76849-3020
Practice Address - Country:US
Practice Address - Phone:806-396-5568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4838314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility