MEDICARE: WINNIE-STOWELL 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	:	1326490541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINNIE-STOWELL HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	101 WOODLAND PARK DR
Second Line	:
City	:	SHEPHERD
State	:	TX
Zip	:	77371-6497
Country	:	US
Telephone Number	:	936-628-3388
Fax Number	:	936-628-6387

Provider Business Practice Location Address
First Line	:	101 WOODLAND PARK DR
Second Line	:
City	:	SHEPHERD
State	:	TX
Zip	:	77371-6497
Country	:	US
Telephone Number	:	936-628-3388
Fax Number	:	936-628-6387

Authorized Official
Title or Position	:	BOARD PRESIDENT
Name	:	EDWARD MURRELL
Credential	:
Telephone Number	:	409-296-1003

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	01/25/2024

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