MEDICARE: WEST WHARTON COUNTY HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1164021002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST WHARTON COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	6937 WARFIELD AVE
Second Line	:
City	:	SYKESVILLE
State	:	MD
Zip	:	21784-7454
Country	:	US
Telephone Number	:	410-552-4800
Fax Number	:	410-552-4837

Provider Business Practice Location Address
First Line	:	1301 S TERRELL ST
Second Line	:
City	:	FALFURRIAS
State	:	TX
Zip	:	78355-4902
Country	:	US
Telephone Number	:	361-325-3658
Fax Number	:

Authorized Official
Title or Position	:	BOARD CHAIRMAN
Name	:	PAUL SOECHTING
Credential	:
Telephone Number	:	979-543-6251

Provider Enumeration Date	:	10/21/2020
Last Update Date	:	05/07/2021

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