Provider Demographics
NPI:1396159760
Name:SUTTON COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:SUTTON COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-387-1210
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:ROCKSPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78880-0096
Mailing Address - Country:US
Mailing Address - Phone:325-387-2521
Mailing Address - Fax:325-387-2396
Practice Address - Street 1:212 W MAIN STREET
Practice Address - Street 2:
Practice Address - City:ROCKSPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78880
Practice Address - Country:US
Practice Address - Phone:325-387-2521
Practice Address - Fax:325-387-2396
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUTTON COUNTY HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-13
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center