Healthcare Provider Details
I. General information
NPI: 1851938112
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2019
Last Update Date: 06/14/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
227 RUSSELL BLVD
NACOGDOCHES TX
75965-1238
US
IV. Provider business mailing address
1780 HUGHES LANDING BLVD STE 500
THE WOODLANDS TX
77380-4009
US
V. Phone/Fax
- Phone: 936-564-4596
- Fax: 936-715-0376
- Phone: 281-419-5520
- Fax: 281-419-5527
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:
EDWARD
MURRELL
Title or Position: BOARD PRESIDENT
Credential:
Phone: 409-296-1003