Healthcare Provider Details

I. General information

NPI: 1548362387
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 01/13/2024
Certification Date: 01/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2019 N FRAZIER ST
CONROE TX
77301
US

IV. Provider business mailing address

2019 N FRAZIER ST
CONROE TX
77301-1233
US

V. Phone/Fax

Practice location:
  • Phone: 936-441-2120
  • Fax: 936-760-2140
Mailing address:
  • Phone: 936-441-2120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number116301
License Number StateTX

VIII. Authorized Official

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