| North Runnels County Hospital | |
|
7571 State Highway 153 Winters TX 79567-7439 | |
| (325) 754-1317 | |
| (325) 754-1208 |
| Full Name | North Runnels County Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 7571 State Highway 153, Winters, Texas |
| Authorized Official Name and Position | Trace George (CEO) |
| Authorized Official Contact | 3257541500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Runnels County Hospital Po Box 185 Winters TX 79567-0185 Ph: (325) 754-1317 | North Runnels County Hospital 7571 State Highway 153 Winters TX 79567-7439 Ph: (325) 754-1317 |
| NPI Number | 1255429155 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 09/27/2024 |
| Medicare PECOS PAC ID | 6507757812 |
|---|---|
| Medicare Enrollment ID | O20040324000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255429155 | NPI | - | NPPES |
| 020989204 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Mark S Mckinnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457326571 PECOS PAC ID: 9234288341 Enrollment ID: I20090520000441 |
| Provider Name | Tamara D Killough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083017511 PECOS PAC ID: 1557674470 Enrollment ID: I20150722003709 |
| Provider Name | Benjamin L England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861095838 PECOS PAC ID: 7810386943 Enrollment ID: I20211111001339 |