Healthcare Provider Details

I. General information

NPI: 1174574958
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N MAIN ST
GIDDINGS TX
78942-1360
US

IV. Provider business mailing address

1400 N MAIN ST
GIDDINGS TX
78942-1360
US

V. Phone/Fax

Practice location:
  • Phone: 979-542-1755
  • Fax: 979-542-1991
Mailing address:
  • Phone: 979-542-1755
  • Fax: 979-542-1991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number138085
License Number StateTX

VIII. Authorized Official

Name: RICHARD AGNEW
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 512-565-6159