Organization
STONEWALL MEMORIAL HOSPITAL
Active
Other names
Stonewall Memorial Hospital District
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOORHEAD (CEO)
(940) 989-3551
Entity
Organization
Contact information
Practice address
821 N BROADWAY ST, ASPERMONT, TX 79502-2029
(940) 989-3551
(940) 989-3662
Mailing address
821 N BROADWAY ST, ASPERMONT, TX 79502-2029
(940) 989-3551
(940) 989-3662
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00G24G
TX
207Q00000X
Family Medicine Physician
D4789
TX
207Q00000X
Family Medicine Physician
J6646
TX
2084P0800X
Psychiatry Physician
H9774
TX
261QC0050X
Critical Access Hospital Clinic/Center
453986
TX
261QR1300X
Rural Health Clinic/Center
453986
TX
275N00000X
Medicare Defined Swing Bed Hospital Unit
000666
TX
282NC0060X
Critical Access Hospital
Primary
000666
TX
291U00000X
Clinical Medical Laboratory
45D0600750
TX
363L00000X
Nurse Practitioner
F0906010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209926-01
—
TX
05
—
020992601
—
TX
05
—
063461001
—
TX
05
—
096502201
—
TX
01
—
127312001
MEDICARE/MEDICAID CROSSOVER
TX
01
—
1538142617
PHYSICIAN
TX
01
—
1649378712
NP
TX
01
—
1972577963
PHYSICIAN
TX
01
—
451318
MEDICARE
TX
Enumeration date
07/12/2005
Last updated
02/05/2024
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