Provider Demographics
NPI:1982933313
Name:MUENSTER HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MUENSTER HOSPITAL DISTRICT
Other - Org Name:SAINT RICHARDS VILLA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HELLER
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:940-759-2219
Mailing Address - Fax:940-759-5803
Practice Address - Street 1:711 WEST DIVISION STREET
Practice Address - Street 2:
Practice Address - City:MUENSTER
Practice Address - State:TX
Practice Address - Zip Code:76252-2716
Practice Address - Country:US
Practice Address - Phone:940-759-2219
Practice Address - Fax:940-759-5803
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUENSTER HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-14
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122427314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676070Medicare Oscar/Certification