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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
1314000000XSkilled Nursing Facility
2313M00000XNursing Facility/Intermediate Care Facility115319TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578534772
Entity Type Code : Organization
Provider Name (Legal Business Name) : STONEWALL MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 931 N BROADWAY ST
Second Line :
City : ASPERMONT
State : TX
Zip : 79502
Country : US
Telephone Number : 940-989-3551
Fax Number : 940-989-3606
Provider Business Practice Location Address
First Line : 931 N BROADWAY ST
Second Line :
City : ASPERMONT
State : TX
Zip : 79502-2029
Country : US
Telephone Number : 940-989-3551
Fax Number : 940-989-3606
Authorized Official
Title or Position : CEO
Name : MICHAEL MOORHEAD
Credential :
Telephone Number : 940-989-3551
Provider Enumeration Date : 01/27/2006
Last Update Date : 03/05/2025

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Practice Location Address:
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1235556002 — WHITNEY SHUMAKER
Practice Location Address:
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Directions to “STONEWALL MEMORIAL HOSPITAL ” Practice Location

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