Provider Demographics
NPI:1114924164
Name:WINKLER COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:WINKLER COUNTY HOSPITAL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:JAMISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-586-8299
Mailing Address - Street 1:PO DRAWER H
Mailing Address - Street 2:
Mailing Address - City:KERMIT
Mailing Address - State:TX
Mailing Address - Zip Code:79745-6008
Mailing Address - Country:US
Mailing Address - Phone:432-586-5864
Mailing Address - Fax:432-586-8121
Practice Address - Street 1:821 JEFFEE DRIVE
Practice Address - Street 2:
Practice Address - City:KERMIT
Practice Address - State:TX
Practice Address - Zip Code:79745
Practice Address - Country:US
Practice Address - Phone:432-586-5864
Practice Address - Fax:432-586-8121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-06
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000062207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080644001Medicaid
TX080644001Medicaid