Provider Demographics
NPI:1356375422
Name:CASTRO COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:CASTRO COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-647-2191
Mailing Address - Street 1:310 W HALSELL ST
Mailing Address - Street 2:PO BOX 278
Mailing Address - City:DIMMITT
Mailing Address - State:TX
Mailing Address - Zip Code:79027-1846
Mailing Address - Country:US
Mailing Address - Phone:806-647-2191
Mailing Address - Fax:806-647-2407
Practice Address - Street 1:310 W HALSELL ST
Practice Address - Street 2:
Practice Address - City:DIMMITT
Practice Address - State:TX
Practice Address - Zip Code:79027-1846
Practice Address - Country:US
Practice Address - Phone:806-647-2191
Practice Address - Fax:806-647-2407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX543371367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82755UOtherRODERICK STELLE
TX00C79JOtherBCBS
TX=========OtherCOMMERCIAL