Provider Demographics
NPI:1497750962
Name:MUENSTER HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MUENSTER HOSPITAL DISTRICT
Other - Org Name:MMH FAMILY HEALTH CLINIC
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:WILIMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-759-6181
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:940-759-2226
Mailing Address - Fax:940-759-2385
Practice Address - Street 1:509 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:MUENSTER
Practice Address - State:TX
Practice Address - Zip Code:76252-2425
Practice Address - Country:US
Practice Address - Phone:940-759-2226
Practice Address - Fax:940-759-2385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
TX45D0938017261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0037DEOtherBCBS GROUP
TX063615102Medicaid
TX063615101Medicaid
TX063615102Medicaid