Healthcare Provider Details

I. General information

NPI: 1285667048
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HYDE ST
CORRIGAN TX
75939-2088
US

IV. Provider business mailing address

300 HYDE ST
CORRIGAN TX
75939-2088
US

V. Phone/Fax

Practice location:
  • Phone: 936-398-2220
  • Fax: 936-398-2249
Mailing address:
  • Phone: 936-398-2220
  • Fax: 936-398-2249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number118126
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number676072
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number5193
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number001013529
License Number StateTX
# 5
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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