Healthcare Provider Details
I. General information
NPI: 1861818635
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/17/2014
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1154 E HAWKINS PKWY
LONGVIEW TX
75605-7975
US
IV. Provider business mailing address
1500 WATERS RIDGE DR
LEWISVILLE TX
75057-6011
US
V. Phone/Fax
- Phone: 903-663-2750
- Fax: 903-663-2851
- Phone: 972-899-4401
- Fax: 972-899-4806
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
W
DOHN
Title or Position: VP OF ACCOUNTING HMG
Credential:
Phone: 713-897-8848