Provider Demographics
NPI:1922206606
Name:SUTTON COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:SUTTON COUNTY HOSPITAL DISTRICT
Other - Org Name:SONORA MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BADGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-387-1210
Mailing Address - Street 1:PO BOX 877
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:TX
Mailing Address - Zip Code:76950-0877
Mailing Address - Country:US
Mailing Address - Phone:325-387-7911
Mailing Address - Fax:325-387-7912
Practice Address - Street 1:301 HUDSPETH ST
Practice Address - Street 2:SUITE B
Practice Address - City:SONORA
Practice Address - State:TX
Practice Address - Zip Code:76950-8004
Practice Address - Country:US
Practice Address - Phone:325-387-7911
Practice Address - Fax:325-387-7912
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LILLIAN M HUDSPETH MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-05
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX458877Medicare Oscar/Certification