Provider Demographics
NPI:1710351564
Name:WINNIE COMMUNITY HOSPITAL, LLC
Entity Type:Organization
Organization Name:WINNIE COMMUNITY HOSPITAL, LLC
Other - Org Name:RICELAND SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:M.
Authorized Official - Middle Name:TAHIR
Authorized Official - Last Name:JAVED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-840-9601
Mailing Address - Street 1:390 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1802
Mailing Address - Country:US
Mailing Address - Phone:409-981-5500
Mailing Address - Fax:409-981-5501
Practice Address - Street 1:390 N 11TH ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1802
Practice Address - Country:US
Practice Address - Phone:409-981-5500
Practice Address - Fax:409-981-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical