Provider Demographics
NPI:1255418018
Name:REFUGIO COUNTY
Entity type:Organization
Organization Name:REFUGIO COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STERNADEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-526-5579
Mailing Address - Street 1:PO BOX 193
Mailing Address - Street 2:
Mailing Address - City:REFUGIO
Mailing Address - State:TX
Mailing Address - Zip Code:78377-0193
Mailing Address - Country:US
Mailing Address - Phone:361-526-5579
Mailing Address - Fax:361-526-1732
Practice Address - Street 1:414 N ALAMO ST
Practice Address - Street 2:
Practice Address - City:REFUGIO
Practice Address - State:TX
Practice Address - Zip Code:78377
Practice Address - Country:US
Practice Address - Phone:361-526-5579
Practice Address - Fax:361-526-1732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF50028473Medicaid