Provider Demographics
NPI:1972556009
Name:MUENSTER HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MUENSTER HOSPITAL DISTRICT
Other - Org Name:MMH ER GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-759-6153
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:940-759-6104
Mailing Address - Fax:940-759-5080
Practice Address - Street 1:605 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:MUENSTER
Practice Address - State:TX
Practice Address - Zip Code:76252-2424
Practice Address - Country:US
Practice Address - Phone:940-759-6104
Practice Address - Fax:940-759-5080
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUENSTER HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-18
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCP7887OtherMEDICARE RAIL ROAD GROUP
TX0037DEOtherBCBS GROUP
TX120745807Medicaid
TX120745807Medicaid