NPIMap

Organization Active NPI

Memorial Hermann Community Benefit Corporation

Doing business as Memorial Hermann Health Centers for Schools--Kruse Clinc

  • Primary Care Clinic/Center
  • Pasadena, TX
National Provider Identifier
1073022091
Registry record updated May 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION
Doing business as
Memorial Hermann Health Centers for Schools--Kruse Clinc
Practice address
400 Park LN
Suite M
Pasadena, TX 77506
Phone
(832) 658-5230
Fax
(713) 473-0385
NPI assigned
Sep 21, 2017
Last updated
May 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol Paret
Title
Chief Community Health Officer
Phone
(713) 338-5983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

400 Park LN
Suite M
Pasadena, TX 77506

Mailing address

909 Frostwood Dr Ste 2.205
Houston, TX 77024-2301
Phone (713) 338-5982

Other names 1

  • Memorial Hermann Health Centers for Schools--Kruse Clinc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hermann Community Benefit Corporation10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 Park Ln
Ste M
Pasadena, TX 77506
Phone (832) 658-5230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683417600000",
    "number": "1073022091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR STE 2.205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-338-5982",
            "fax_number": "713-338-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARK LN",
            "address_2": "SUITE M",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77506",
            "telephone_number": "832-658-5230",
            "fax_number": "713-473-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-05-07",
        "certification_date": "2023-05-07",
        "status": "A",
        "authorized_official_last_name": "PARET",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CHIEF COMMUNITY HEALTH OFFICER",
        "authorized_official_telephone_number": "713-338-5983"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Health Centers for Schools--Kruse Clinc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.