Provider Demographics
NPI:1174659130
Name:ROWLAND WINN DBA WINN MEDICAL SUPPLY
Entity Type:Organization
Organization Name:ROWLAND WINN DBA WINN MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROWLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-646-8338
Mailing Address - Street 1:PO BOX 446
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76804-0446
Mailing Address - Country:US
Mailing Address - Phone:325-646-8100
Mailing Address - Fax:325-646-2408
Practice Address - Street 1:205 E BAKER ST
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801
Practice Address - Country:US
Practice Address - Phone:325-646-8100
Practice Address - Fax:325-646-2408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0087766332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000532327OtherBLUE CROSS BLUE SHIELD
TX5631370001Medicare NSC