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
1	314000000X	Skilled Nursing Facility		TX

General Provider Information

NPI Number	:	1366498537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINNIE-STOWELL HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1816 TILE FACTORY RD
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75803-8472
Country	:	US
Telephone Number	:	903-729-2261
Fax Number	:

Provider Business Practice Location Address
First Line	:	1816 TILE FACTORY RD
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75803
Country	:	US
Telephone Number	:	903-729-2261
Fax Number	:	903-729-1890

Authorized Official
Title or Position	:	BOARD PRESIDENT
Name	:	EDWARD MURRELL
Credential	:
Telephone Number	:	409-296-1003

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	01/10/2024

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