Healthcare Provider Details

I. General information

NPI: 1629486717
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2014
Last Update Date: 12/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 SOUTH WASHINGTON AVENUE
MARSHALL TX
75670
US

IV. Provider business mailing address

PO BOX 1997
WINNIE TX
77665-1997
US

V. Phone/Fax

Practice location:
  • Phone: 903-935-7971
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: JOHN ELROY HENRY
Title or Position: CAIRMAN
Credential:
Phone: 409-658-9737