Healthcare Provider Details

I. General information

NPI: 1164428348
Provider Name (Legal Business Name): MUENSTER HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 N MAPLE ST
MUENSTER TX
76252-2423
US

IV. Provider business mailing address

PO BOX 370
MUENSTER TX
76252-0370
US

V. Phone/Fax

Practice location:
  • Phone: 940-759-2262
  • Fax: 940-759-6196
Mailing address:
  • Phone: 940-759-2262
  • Fax: 940-759-6196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number002722
License Number StateTX

VIII. Authorized Official

Name: BRIAN ROLAND
Title or Position: CEO
Credential:
Phone: 940-759-6153