Organization Active NPI

Altus Lake Jackson, LP

  • Emergency Care Clinic/Center
  • Lake Jackson, TX
National Provider Identifier
1275957508
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
ALTUS LAKE JACKSON, LP
Practice address
200 Oak Drive South
Lake Jackson, TX 77566-5628
Phone
(409) 981-5580
Fax
(409) 981-5501
NPI assigned
Feb 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Lauren Cotton
Title
Chief Operations Officer
Phone
(832) 219-3833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

200 Oak Drive South
Lake Jackson, TX 77566-5628

Mailing address

1535 West Loop S
Houston, TX 77027-9512
Phone (832) 219-3833

Other names 1

  • Altus Management LLC Gen PTR Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2069850Altus Lake Jackson, LP200 Oak Drive South, Lake Jackson, TX 77566ComplianceDec 27, 2027

National Provider Directory

National Provider Directory

Locations

200 Oak Dr S
Lake Jackson, TX 77566
Phone (409) 227-0520

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": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1275957508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 WEST LOOP S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770279512",
            "telephone_number": "832-219-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK DRIVE SOUTH",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665628",
            "telephone_number": "409-981-5580",
            "fax_number": "409-981-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUS LAKE JACKSON, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "832-219-3833"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altus Management LLC Gen PTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.