Healthcare Provider Details

I. General information

NPI: 1396421426
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1154 E HAWKINS PKWY
LONGVIEW TX
75605-7975
US

IV. Provider business mailing address

PO BOX 1997
WINNIE TX
77665-1997
US

V. Phone/Fax

Practice location:
  • Phone: 903-663-2750
  • Fax: 903-663-2851
Mailing address:
  • Phone: 409-296-1003
  • Fax: 409-296-1003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM W DOHN
Title or Position: DIRECTOR OF CBO
Credential:
Phone: 713-897-8848