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

General Provider Information

NPI Number	:	1376340539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINNIE-STOWELL HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	6600 9TH AVE
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-6411
Country	:	US
Telephone Number	:	409-962-5541
Fax Number	:	409-962-4550

Provider Business Practice Location Address
First Line	:	6600 9TH AVE
Second Line	:
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-6411
Country	:	US
Telephone Number	:	409-962-5541
Fax Number	:	409-962-4550

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

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	02/26/2025

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