NPIMap

Organization Active NPI

Memorial Hermann Community Benefit Corporation

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1124537287
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION
Practice address
6230 Dumfries Dr
Houston, TX 77096-4603
Phone
(713) 771-1805
Fax
(713) 771-1849
NPI assigned
Sep 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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 Primary

Addresses

Primary practice location

6230 Dumfries Dr
Houston, TX 77096-4603

Mailing address

909 Frostwood Dr Ste 2.205
Houston, TX 77024-2301
Phone (713) 338-5983

Other names 1

  • Memorial Hermann Health Centers for Schools--Elrod Clinic 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

6230 Dumfries Dr
Houston, TX 77096
Phone (713) 771-1805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1664409600000",
    "number": "1124537287",
    "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": "713-338-5983",
            "fax_number": "713-338-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 DUMFRIES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964603",
            "telephone_number": "713-771-1805",
            "fax_number": "713-771-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Health Centers for Schools--Elrod Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.