Active NPI
Kingwood Medical Center
- Emergency Care Clinic/Center
- Kingwood, TX
National Provider Identifier
1134490071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- License
- 160032
- Legal business name
- KINGWOOD MEDICAL CENTER
- Practice address
- 2158 Northpark Dr
Kingwood, TX 77339-1745 - Phone
- (281) 359-9020
- Fax
- (972) 899-5954
- NPI assigned
- Jan 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Fielding
- Title
- Cfo
- Phone
- (972) 899-6650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | 160032 | TX | Primary |
Addresses
Primary practice location
2158 Northpark Dr
Kingwood, TX 77339-1745
Mailing address
PO Box 840795
Dallas, TX 75284-0795
Phone (972) 899-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 434148 | Other | TX | JACHO |
Other names 1
- First Choice Emergency Room
National Provider Directory
National Provider DirectoryLocations
2158 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-9020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382659200000",
"number": "1134490071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840795",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840795",
"telephone_number": "972-899-6666",
"fax_number": "972-899-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2158 NORTHPARK DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773391745",
"telephone_number": "281-359-9020",
"fax_number": "972-899-5954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGWOOD MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-24",
"last_updated": "2013-10-25",
"status": "A",
"authorized_official_last_name": "FIELDING",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "972-899-6650"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": "TX",
"license": "160032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JACHO",
"identifier": "434148",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "First Choice Emergency Room",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingwood, TX
- Kingwood Health and Wellness
- Kingwood Home Health Care, LLC
- Kingwood Hospice LLC
- Kingwood Infusion Center PLLC
- Kingwood Marbach Family Dental PLLC
- Kingwood Neurology and Sleep PA
- Kingwood Oral Surgery, PLLC
- Kingwood Personal Assistance, LLC
- Kingwood Physical Therapy LTD
- Kingwood Physical Therapy LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.