Healthcare Provider Details

I. General information

NPI: 1073587812
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 CIMARRON BLVD
CORPUS CHRISTI TX
78414-3887
US

IV. Provider business mailing address

1780 HUGHES LANDING BLVD STE 500
THE WOODLANDS TX
77380-4009
US

V. Phone/Fax

Practice location:
  • Phone: 361-993-8500
  • Fax: 361-993-4004
Mailing address:
  • Phone: 281-419-5520
  • Fax: 281-419-5527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number116401
License Number StateTX

VIII. Authorized Official

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