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	115593	TX

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801878319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINNIE-STOWELL HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1780 HUGHES LANDING BLVD STE 500
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-4009
Country	:	US
Telephone Number	:	281-419-5520
Fax Number	:	281-419-5527

Provider Business Practice Location Address
First Line	:	2350 FM 1092 RD
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-1839
Country	:	US
Telephone Number	:	281-499-9333
Fax Number	:	281-499-0035

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. LAURENCE C. DASPIT
Credential	:
Telephone Number	:	281-419-5520

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	06/14/2021

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