Provider Demographics
NPI:1023173507
Name:STARR COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:STARR COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:THALIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MS
Authorized Official - Phone:956-487-5561
Mailing Address - Street 1:PO BOX 78
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-0078
Mailing Address - Country:US
Mailing Address - Phone:956-849-0674
Mailing Address - Fax:956-847-1777
Practice Address - Street 1:640 E BRAVO BLVD
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-5720
Practice Address - Country:US
Practice Address - Phone:956-849-2176
Practice Address - Fax:956-849-4155
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STARR COUNTY MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-26
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136332708Medicaid
TX136332706Medicaid