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Organization Active NPI

Memorial Hermann Health System

Doing business as Memorial Hermann MHS CICDs

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1396954152
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
Memorial Hermann MHS CICDs
Practice address
7600 Beechnut St
Houston, TX 77074-4302
Phone
(713) 456-5000
Fax
(713) 338-4158
NPI assigned
May 21, 2007
Last updated
Jun 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Mr. Dennis Laraway
Title
Cfo
Phone
(713) 242-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

7600 Beechnut St
Houston, TX 77074-4302

Mailing address

PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127

Other identifiers 1

IdentifierTypeStateIssuer
022862901MedicaidTX

Other names 1

  • Memorial Hermann MHS CICDs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hermann HSP Sy63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1396954152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744302",
            "telephone_number": "713-456-5000",
            "fax_number": "713-338-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022862901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann MHS CICDs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.