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	112912	TX
2	314000000X	Skilled Nursing Facility

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

General Provider Information

NPI Number	:	1659369627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINNIE-STOWELL HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1621 GALLERIA BLVD
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2926
Country	:	US
Telephone Number	:	615-550-9453
Fax Number	:	615-915-6935

Provider Business Practice Location Address
First Line	:	7514 KINGSLEY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-4412
Country	:	US
Telephone Number	:	713-644-8393
Fax Number	:	713-641-0597

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	03/20/2025

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