Provider Demographics
NPI:1386638237
Name:WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:WINNIE-STOWELL HOSPITAL DISTRICT
Other - Org Name:ARBROOK PLAZA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF ACCOUNTING HMG
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:DOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-897-8848
Mailing Address - Street 1:1780 HUGHES LANDING BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-4009
Mailing Address - Country:US
Mailing Address - Phone:281-419-5520
Mailing Address - Fax:
Practice Address - Street 1:401 WEST ARBROOK BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-3108
Practice Address - Country:US
Practice Address - Phone:817-466-3094
Practice Address - Fax:817-385-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115252314000000X
TX133057314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001030429Medicaid
TX157520101OtherMEDICAID CO B
TX001004087Medicaid