MEDICARE: WEST COKE 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	:	1407469695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST COKE COUNTY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	9602 HUFFMEISTER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2895
Country	:	US
Telephone Number	:	281-463-9001
Fax Number	:	281-463-9002

Provider Business Practice Location Address
First Line	:	9602 HUFFMEISTER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-2895
Country	:	US
Telephone Number	:	281-463-9001
Fax Number	:	281-463-9002

Authorized Official
Title or Position	:	CEO
Name	:	HOUSTON MCGUIRE
Credential	:
Telephone Number	:	325-453-2511

Provider Enumeration Date	:	08/26/2020
Last Update Date	:	04/30/2026

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Directions to “WEST COKE COUNTY HOSPITAL DISTRICT ” Practice Location

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