MEDICARE: STONEWALL MEMORIAL HOSPITAL

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	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1679992911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONEWALL MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	821 N BROADWAY ST
Second Line	:
City	:	ASPERMONT
State	:	TX
Zip	:	79502-2029
Country	:	US
Telephone Number	:	940-989-3551
Fax Number	:

Provider Business Practice Location Address
First Line	:	1447 MAIN STREET
Second Line	:
City	:	JAYTON
State	:	TX
Zip	:	79528
Country	:	US
Telephone Number	:	806-237-3405
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL MOORHEAD
Credential	:
Telephone Number	:	940-989-2875

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	07/21/2025

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Directions to “STONEWALL MEMORIAL HOSPITAL ” Practice Location

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