Healthcare Provider Details

I. General information

NPI: 1255633178
Provider Name (Legal Business Name): WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2010
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 N SMITH ST
WEIMAR TX
78962-1814
US

IV. Provider business mailing address

206 N SMITH ST
WEIMAR TX
78962-1814
US

V. Phone/Fax

Practice location:
  • Phone: 979-725-8564
  • Fax: 979-725-6673
Mailing address:
  • Phone: 979-725-8564
  • Fax: 979-725-6673

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