Basic Information
| Provider Information | |||||||||
| NPI: | 1962079517 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WINNIE-STOWELL HOSPITAL DISTRICT | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | RED OAK HEALTH AND REHABILITATION CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1780 HUGHES LANDING BLVD STE 500 | ||||||||
| Address2: | |||||||||
| City: | THE WOODLANDS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773804009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814195520 | ||||||||
| FaxNumber: | 2814195527 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 REESE DR | ||||||||
| Address2: | |||||||||
| City: | RED OAK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751542376 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4695520500 | ||||||||
| FaxNumber: | 4695520501 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2021 | ||||||||
| LastUpdateDate: | 09/14/2021 | ||||||||
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| AuthorizedOfficialLastName: | MURRELL | ||||||||
| AuthorizedOfficialFirstName: | EDWARD | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHMN OF HOSP DIST BOARD | ||||||||
| AuthorizedOfficialTelephone: | 4092961003 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 09/14/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.