Organization
STRATFORD HOSPITAL DISTRICT
Active
Other names
Coronado Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MOORE (CEO)
(806) 396-5568
Entity
Organization
Contact information
Practice address
1504 W KENTUCKY AVE, PAMPA, TX 79065-3916
(806) 665-5746
(806) 665-6220
Mailing address
PO BOX 1189, STRATFORD, TX 79084-1189
(806) 396-5568
(806) 396-2086
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026067
—
TX
01
—
005049
FACILITY ID NO.
TX
Enumeration date
10/10/2005
Last updated
03/05/2015
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