Provider Demographics
NPI:1093839839
Name:MUENSTER HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MUENSTER HOSPITAL DISTRICT
Other - Org Name:MUENSTER MEMORIAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARION
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-759-6153
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:MUENSTER
Mailing Address - State:TX
Mailing Address - Zip Code:76252-0370
Mailing Address - Country:US
Mailing Address - Phone:940-759-2271
Mailing Address - Fax:940-759-5080
Practice Address - Street 1:605 N MAPLE
Practice Address - Street 2:
Practice Address - City:MUESNTER
Practice Address - State:TX
Practice Address - Zip Code:76252-2424
Practice Address - Country:US
Practice Address - Phone:940-759-2271
Practice Address - Fax:940-759-5080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013692Medicaid
TX45Z335Medicare Oscar/Certification