Healthcare Provider Details

I. General information

NPI: 1649251026
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2005
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 N 15TH ST
ABILENE TX
79603-4430
US

IV. Provider business mailing address

1751 N 15TH ST
ABILENE TX
79603-4430
US

V. Phone/Fax

Practice location:
  • Phone: 325-673-3531
  • Fax: 325-675-5123
Mailing address:
  • Phone: 325-673-3531
  • Fax: 325-675-5123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number143058
License Number StateTX

VIII. Authorized Official

Name: EDWARD MURRELL
Title or Position: BOARD PRESIDENT
Credential:
Phone: 409-296-1003