Tomball Express Medical Center, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

TOMBALL EXPRESS MEDICAL CENTER, LLC

Doing business as

Emerus Community Hospital

Practice address

24429 Tomball Parkway
Suite 100
Tomball, TX 77375

Phone

(281) 516-0911

Fax

(713) 637-1305

NPI assigned

Dec 10, 2013

Last updated

Aug 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael D Ekness

Title

Director, Managed Care

Phone

(713) 637-1144

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Emerus Community Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144651514. Details of each certification follow.

• CCN 670095 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 670095

Legal name

MEMORIAL HERMANN FIRST COLONY HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Aug 31, 2019

Provider type (POS)

Hospital – Short-term

Participating since

Jul 18, 2014

Last certification

Jun 4, 2017

Beds

8

Ownership / control type

Private (for profit)

Most recent change of ownership

Jul 1, 2017 (1 total)

Facility address

24429 Tomball Parkway, Suite 100
Tomball, TX 77375

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.

• John Eric Buck, M.D.

  • Emergency Medicine Physician
  • Conroe, TX
  • NPI 1053383604
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1144651514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 NEW TRAILS DR",
            "address_2": "SUITE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811176",
            "telephone_number": "713-637-1144",
            "fax_number": "281-292-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24429 TOMBALL PARKWAY",
            "address_2": "SUITE 100",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "281-516-0911",
            "fax_number": "713-637-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBALL EXPRESS MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "EKNESS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE",
        "authorized_official_telephone_number": "713-637-1144"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340639901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340639902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerus Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Acute Care Hospital in Tomball, TX
• Providers in Tomball, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.