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General NPI Number Information
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NPI Number | 1578534772
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Entity Type | Organization
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Legal Business Name | STONEWALL MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 931 N BROADWAY ST
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City | ASPERMONT
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State | TX
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Zip | 79502-2029
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Country | US
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Telephone | 940-989-3551
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Fax | 940-989-3606
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Provider Business Mailing Address
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Address Line | 931 N BROADWAY ST
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City | ASPERMONT
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State | TX
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Zip | 79502
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Country | US
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Telephone | 940-989-3551
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Fax | 940-989-3606
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL MOORHEAD
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Credential |
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Telephone | 940-989-3551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 115319
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License Number State | TX
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