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1023011657

NPI Code Detail

MEDICARE: SWEENY HOSPITAL DISTRICT

MEDICARE: SWEENY HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant
2	225100000X	Physical Therapist
3	363L00000X	Nurse Practitioner
4	207P00000X	Emergency Medicine Physician
5	207Q00000X	Family Medicine Physician
6	207R00000X	Internal Medicine Physician
7	363A00000X	Physician Assistant
8	101YP2500X	Professional Counselor		TX
9	3416L0300X	Land Ambulance	020037	TX
10	207LP2900X	Pain Medicine (Anesthesiology) Physician
11	275N00000X	Medicare Defined Swing Bed Hospital Unit	000178	TX
12	282NC0060X	Critical Access Hospital	000178	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023011657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEENY HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	305 N MCKINNEY ST
Second Line	:
City	:	SWEENY
State	:	TX
Zip	:	77480-2801
Country	:	US
Telephone Number	:	979-548-1500
Fax Number	:	979-548-3105

Provider Business Practice Location Address
First Line	:	305 N MCKINNEY ST
Second Line	:
City	:	SWEENY
State	:	TX
Zip	:	77480-2801
Country	:	US
Telephone Number	:	979-548-1500
Fax Number	:	979-548-1595

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	CYNTHIA DALE BURGE
Credential	:
Telephone Number	:	979-548-1598

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	05/27/2026

Similar Medicare Providers

1265514806 — MRS. HEATHER THOMPSON MARSHALL LMFT
Practice Location Address:

305 N MCKINNEY ST
SWEENY, TX
77480-2801

Practice Phone: 979-548-1550
Practice Fax: 979-548-3105

1083830855 — MS. KAREN S WADDELL OTR
Practice Location Address:

305 N MCKINNEY ST
SWEENY, TX
77480-2801

Practice Phone: 979-798-9190
Practice Fax:

1598981458 — PEGGY JEANINE BOINEAU
Practice Location Address:

305 N MCKINNEY ST
SWEENY, TX
77480-2801

Practice Phone: 979-798-9190
Practice Fax:

1932347424 — TX COAST EMERGENCY PHYSICIANS
Practice Location Address:

305 N MCKINNEY ST
SWEENY, TX
77480-2801

Practice Phone: 979-548-1500
Practice Fax:

1538560081 — KEVIN PERSAD
Practice Location Address:

305 N MCKINNEY ST
SWEENY, TX
77480-2801

Practice Phone: 979-548-1571
Practice Fax: 979-548-3317

1457757890 — JOSHUA ROSZAK DMS, PA-C
Practice Location Address:

305 N MCKINNEY ST
SWEENY, TX
77480-2801

Practice Phone: 979-548-1500
Practice Fax:

Directions to “SWEENY HOSPITAL DISTRICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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