Healthcare Provider Details

I. General information

NPI: 1609189406
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2010
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6230 WARREN ST
GROVES TX
77619-4214
US

IV. Provider business mailing address

6230 WARREN ST
GROVES TX
77619-4214
US

V. Phone/Fax

Practice location:
  • Phone: 409-963-1266
  • Fax: 409-962-9622
Mailing address:
  • Phone: 409-963-1266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number130712
License Number StateTX

VIII. Authorized Official

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