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NPI Code Detail

MEDICARE: WINNIE-STOWELL HOSPITAL DISTRICT

MEDICARE: WINNIE-STOWELL 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
1314000000XSkilled Nursing Facility138085TX

Other Identifiers

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

General Provider Information

NPI Number : 1174574958
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINNIE-STOWELL HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 1400 N MAIN ST
Second Line :
City : GIDDINGS
State : TX
Zip : 78942-1360
Country : US
Telephone Number : 979-542-1755
Fax Number : 979-542-1991
Provider Business Practice Location Address
First Line : 1400 N MAIN ST
Second Line :
City : GIDDINGS
State : TX
Zip : 78942-1360
Country : US
Telephone Number : 979-542-1755
Fax Number : 979-542-1991
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : RICHARD AGNEW
Credential :
Telephone Number : 512-565-6159
Provider Enumeration Date : 05/15/2006
Last Update Date : 06/30/2025

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Directions to “WINNIE-STOWELL HOSPITAL DISTRICT ” Practice Location

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