Provider Demographics
NPI:1033167408
Name:WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:WINNIE-STOWELL HOSPITAL DISTRICT
Other - Org Name:HALLETTSVILLE NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-296-1003
Mailing Address - Street 1:825 W FAIRWINDS ST
Mailing Address - Street 2:
Mailing Address - City:HALLETTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77964-3531
Mailing Address - Country:US
Mailing Address - Phone:361-798-3268
Mailing Address - Fax:361-798-3582
Practice Address - Street 1:825 W FAIRWINDS ST
Practice Address - Street 2:
Practice Address - City:HALLETTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77964-3531
Practice Address - Country:US
Practice Address - Phone:361-798-3268
Practice Address - Fax:361-798-3582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001026030Medicaid
TX675095Medicare Oscar/Certification
TX163188901Medicaid