Healthcare Provider Details

I. General information

NPI: 1588221667
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2019
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 LAKES OF CHAMPIONS BLVD.
MONT BELVIEU TX
77523
US

IV. Provider business mailing address

14000 LAKES OF CHAMPIONS BLVD
MONT BELVIEU TX
77523-2904
US

V. Phone/Fax

Practice location:
  • Phone: 832-669-3900
  • Fax: 832-669-3890
Mailing address:
  • Phone: 281-339-7340
  • 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: EDWARD MURRELL
Title or Position: BOARD PRESIDENT
Credential:
Phone: 409-296-1003