Healthcare Provider Details

I. General information

NPI: 1447603022
Provider Name (Legal Business Name): WINNIE COMMUNITY HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 07/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 HIGHWAY 327 E
SILSBEE TX
77656-6114
US

IV. Provider business mailing address

538 BROADWAY
WINNIE TX
77665-7600
US

V. Phone/Fax

Practice location:
  • Phone: 409-385-7744
  • Fax:
Mailing address:
  • Phone: 409-296-6000
  • Fax: 409-296-8603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: DR. DANIEL J YANCY
Title or Position: ADMINISTRATOR
Credential: PHD
Phone: 409-296-6000