MEMORIAL HERMANN HEALTH SYSTEM , NPI 1740233782 — MEMORIAL HERMANN MEMORIAL CITY HOSPITAL in HOUSTON (TX)

NPI 1740233782

13+ Years Experience Organization

MEMORIAL HERMANN HEALTH SYSTEM

Other organization name: MEMORIAL HERMANN MEMORIAL CITY HOSPITAL. Name type code: 3 - doing business as (d/b/ a) name.

05/19/2006
PROVIDER ENUMERATION DATE
10.06.2015
LAST UPDATE DATE
1740233782
NPI NUMBER

About MEMORIAL HERMANN HEALTH SYSTEM

MEMORIAL HERMANN HEALTH SYSTEM is a provider established in HOUSTON, TX. The NPI number of MEMORIAL HERMANN HEALTH SYSTEM is 1740233782 and was assigned on 05/19/2006. The practitioners primary taxonomy code is: 261QA1903X TX .

Mailing address

  • City: DALLAS
  • State: TX
  • Postal code: 753031208
  • Phone: 7133384127
  • Fax: 7133384158
  • Address: PO BOX 301208

Primary Practice Address

  • Region : HOUSTON, TX
  • NPI : 1740233782
  • Phone : 7132423000
  • Fax : 7133384158
  • Postalcode : 770242501
  • Address : 921 GESSNER RD

Additional identifiers

  • Identifier: 22519501
  • Code / Type : 5 - MEDICAID
  • Identifier state : TX

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 20934801
  • Code / Type : 5 - MEDICAID
  • Identifier state : TX

Provider taxonomy - Clinic/Center

  • Taxonomy code: 261QA1903X
  • License state: TX

The taxonomy is not the primary taxonomy.

Healthcare provider taxonomy #2 - General Acute Care Hospital

  • Taxonomy code: 282N00000X
  • License number: 302
  • License state: TX

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Contacts:

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  • MEMORIAL HERMANN HEALTH SYSTEM
  • Address : 921 GESSNER RD
  • Region : HOUSTON, TX
  • NPI : 1740233782
  • Phone : 7132423000
  • Fax : 7133384158
  • Postalcode : 770242501

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 7132422707
  • Title or position : CFO

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address921 GESSNER RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameHOUSTON
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameTX
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code770242501
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number7132423000
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number7133384158
The fax number associated with the location address of the provider being identified.
NPI1740233782
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1261QA1903X
Provider Enumeration Date05/19/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated10.06.2015
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Organization SubpartN
The "Is the organization a subpart?" question must be answered. If the organization is a subpart, the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. The legal entity must obtain an NPI. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. The "parent"-we don"t know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI.
Provider Organization Name (Legal Business Name)MEMORIAL HERMANN HEALTH SYSTEM
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider Other Organization NameMEMORIAL HERMANN MEMORIAL CITY HOSPITAL
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code3
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing AddressPO BOX 301208
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameDALLAS
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameTX
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code753031208
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number7133384127
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number7133384158
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameLARAWAY
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameDENNIS
The first name of the authorized official
Authorized Official Title or PositionCFO
The title or position of the authorized official
Authorized Official Name Prefix TextMR.
Authorized Official Name Prefix Text
Authorized Official Telephone Number7132422707
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1261QA1903X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Clinic/Center
Provider License Number State Code 1TX
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2282N00000X
Healthcare Provider Taxonomy 2General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Provider License Number 2302
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2TX
Healthcare Provider Primary Taxonomy Switch 2Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 122519501
Other Provider Identifier #1
Other Provider Identifier Type 15
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1TX
Other Provider Identifier State #1
Other Provider Identifier 220934801
Other Provider Identifier #2
Other Provider Identifier Type 25
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2TX
Other Provider Identifier State #2
X

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