Healthcare Provider Details

I. General information

NPI: 1114924164
Provider Name (Legal Business Name): WINKLER COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2005
Last Update Date: 11/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 JEFFEE DRIVE
KERMIT TX
79745
US

IV. Provider business mailing address

PO DRAWER H
KERMIT TX
79745-6008
US

V. Phone/Fax

Practice location:
  • Phone: 432-586-5864
  • Fax: 432-586-8121
Mailing address:
  • Phone: 432-586-5864
  • Fax: 432-586-8121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number000062
License Number StateTX

VIII. Authorized Official

Name: FELICIA D JAMISON
Title or Position: CONTROLLER
Credential:
Phone: 432-586-8299