Provider Demographics
NPI:1699804534
Name:STARR COUNTY MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:STARR COUNTY MEMORIAL HOSPITAL
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 1:1861 N HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-0000
Practice Address - Country:US
Practice Address - Phone:956-849-0674
Practice Address - Fax:956-847-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX458812Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER