Stamford Hospital District

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Legal business name

STAMFORD HOSPITAL DISTRICT

Practice address

1601 Columbia St
Stamford, TX 79553-6863

Phone

(325) 773-2725

Fax

(325) 773-4869

NPI assigned

Oct 25, 2019

Organization subpart

Yes

Parent organization

STAMFORD HOSPITAL DISTRICTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Dee Haddock

Title

Interim Ceo

Phone

(325) 773-2725

Specialties & licenses 4

Addresses

Other names 1

• Stamford Diagnostic Services Doing business as

Part of

Cheryl a Kelley MD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1346883923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 COLUMBIA ST",
            "city": "STAMFORD",
            "state": "TX",
            "postal_code": "795536863",
            "telephone_number": "325-773-2725",
            "fax_number": "325-773-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 COLUMBIA ST",
            "city": "STAMFORD",
            "state": "TX",
            "postal_code": "795536863",
            "telephone_number": "325-773-2725",
            "fax_number": "325-773-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAMFORD HOSPITAL DISTRICT",
        "enumeration_date": "2019-10-25",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "HADDOCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "325-773-2725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stamford Diagnostic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celina Alysse Serfontein, M.S., CCC-SLP
• Shaughn T. SMS D.C., P. C.
• Stamford EMS, Inc
• Stamford Healthcare Management LLC
• Stamford Hospital District
• Stamford Hospital District
• Stamford Hospital District
• Stamford Hospital District
• Stamford Hospital District
• Stamford Independent School District

• Radiologic Technologist in Stamford, TX
• Providers in Stamford, TX by specialty
• Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.