NPIMap

Organization Active NPI

Huntsville Community Hospital, Inc.

Doing business as Huntsville Memorial Hospital

  • Anesthesiology Physician
  • Huntsville, TX
National Provider Identifier
1336875616
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
HUNTSVILLE COMMUNITY HOSPITAL, INC.
Doing business as
Huntsville Memorial Hospital
Practice address
110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Phone
(936) 291-3411
Fax
(936) 291-4394
NPI assigned
Jul 28, 2022
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HUNTSVILLE COMMUNITY HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Paul Hanson
Title
Chief Financial Officer
Phone
(936) 291-4514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

110 Memorial Hospital Dr
Huntsville, TX 77340-4940

Mailing address

PO Box 4001
Huntsville, TX 77342-4001
Phone (936) 291-3411

Other names 1

  • Huntsville Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230301000277 TX Part B Supplier - Clinic/Group Practice 6103255732 Receives reassigned benefits from 18 practitioners
Practice locations: Huntsville, TX

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Huntsville Community4 organizations share this tax ID, including this one
Part of
Huntsville Community

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

103 Medical Park Ln
Ste A
Huntsville, TX 77340
Phone (936) 755-4690

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1336875616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4001",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773424001",
            "telephone_number": "936-291-3411",
            "fax_number": "936-291-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEMORIAL HOSPITAL DR",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404940",
            "telephone_number": "936-291-3411",
            "fax_number": "936-291-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUNTSVILLE COMMUNITY HOSPITAL, INC.",
        "enumeration_date": "2022-07-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "936-291-4514"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntsville Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Huntsville Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.