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NPI Code Detail

MEDICARE: STONEWALL MEMORIAL HOSPITAL

MEDICARE: STONEWALL MEMORIAL HOSPITAL
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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1184057598
Entity Type Code : Organization
Provider Name (Legal Business Name) : STONEWALL MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 821 N BROADWAY ST
Second Line :
City : ASPERMONT
State : TX
Zip : 79502-2029
Country : US
Telephone Number : 940-989-3551
Fax Number :
Provider Business Practice Location Address
First Line : 819 N BROADWAY ST
Second Line :
City : ASPERMONT
State : TX
Zip : 79502-2029
Country : US
Telephone Number : 940-989-2875
Fax Number :
Authorized Official
Title or Position : CEO
Name : MICHAEL MOORHEAD
Credential :
Telephone Number : 940-940-3551
Provider Enumeration Date : 08/21/2013
Last Update Date : 07/09/2024

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Directions to “STONEWALL MEMORIAL HOSPITAL ” Practice Location

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