Provider Demographics
NPI:1790749067
Name:STARR COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:STARR COUNTY HOSPITAL DISTRICT
Other - Org Name:WESLACO NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MS
Authorized Official - First Name:THALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:956-487-5561
Mailing Address - Street 1:422 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-8032
Mailing Address - Country:US
Mailing Address - Phone:956-973-8451
Mailing Address - Fax:956-973-8454
Practice Address - Street 1:422 E 18TH ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-8032
Practice Address - Country:US
Practice Address - Phone:956-973-8451
Practice Address - Fax:956-973-8454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-13
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115668313M00000X
TX676037314000000X
TX5503240001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001028698Medicaid
TX377280801Medicaid
TX005453Medicaid
TX177361602Medicaid
TX200411101Medicaid
TX001027638Medicaid
TX005453Medicaid
TX177361601Medicaid