=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255297230
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/02/2026
-----------------------------------------------------
Last Update Date | 01/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 535 S AUSTIN RD
-----------------------------------------------------
City | EAGLE LAKE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77434-3001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 979-243-3910
-----------------------------------------------------
Fax | 318-268-3528
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6937 WARFIELD AVE
-----------------------------------------------------
City | SYKESVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21784-7454
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CONSULTANT
-----------------------------------------------------
Name | ZACHARY WILLIG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 580-235-8804
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------