NPIMap

Organization Active NPI

Memorial Hermann Community Benefit Corporation

  • Primary Care Clinic/Center
  • South Houston, TX
National Provider Identifier
1275817504
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
Practice address
1500 Main St
South Houston, TX 77587-4252
Phone
(713) 946-7461
NPI assigned
Oct 5, 2011
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 Benefit Officer
Phone
(713) 338-5983

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X F0899 TX
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X F0889 TX
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1500 Main St
South Houston, TX 77587-4252

Mailing address

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

Other names 1

  • Memorial Hermann Health Centers for Schools--WAVE 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

1500 Main St
South Houston, TX 77587
Phone (713) 946-7461

Practitioners & affiliated clinicians

Practitioners 5

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": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683417600000",
    "number": "1275817504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301",
            "telephone_number": "713-338-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MAIN ST",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874252",
            "telephone_number": "713-946-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "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 BENEFIT OFFICER",
        "authorized_official_telephone_number": "713-338-5983"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F0899",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F0889",
            "primary": false
        },
        {
            "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--WAVE Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Houston, 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.