Organization Active NPI

Memorial City Emergency Center LLC

Doing business as Signaturecare Emergency Center

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1457701591
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
160262 Issued in TX
Legal business name
MEMORIAL CITY EMERGENCY CENTER LLC
Doing business as
Signaturecare Emergency Center
Practice address
1014 Wirt Rd
200
Houston, TX 77055-6883
Phone
(832) 834-6414
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Ms. Kathryn Covert, CEO
Title
Ceo
Phone
(832) 699-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 160262 TX Primary

Addresses

Primary practice location

1014 Wirt Rd
200
Houston, TX 77055-6883

Mailing address

PO Box 733313
Dallas, TX 75373-3313
Phone (832) 834-6414

Other names 1

  • SIGNATURECARE EMERGENCY CENTER Doing business as

Medicare participation

Medicare enrollment files
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 1457701591. Details of each certification follow.

Hospital certification: CCN 670179

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MEMORIAL CITY EMERGENCY CENTER LLC
Certification status
Terminated Voluntary: merger or closure, May 11, 2023
Provider type (POS)
Hospital – Short-term
Participating since
Apr 29, 2020
Last certification
Apr 29, 2020
Beds
1
Ownership / control type
Private (not for profit)
Facility address
1014 Wirt Rd
Houston, TX 77055

National Provider Directory

National Provider Directory

Locations

1014 Wirt Rd
Houston, TX 77055
Phone (832) 834-6414

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1457701591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733313",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733313",
            "telephone_number": "832-834-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WIRT RD",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556883",
            "telephone_number": "832-834-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL CITY EMERGENCY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "COVERT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-699-3777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "160262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIGNATURECARE EMERGENCY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.