Lakewood Hospital LLC

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

K 6196 Issued in TX

Legal business name

LAKEWOOD HOSPITAL LLC

Practice address

1001 Dickerson Dr
Jasper, TX 75951-5110

Phone

(713) 661-0001

Fax

(713) 669-4862

NPI assigned

May 8, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Olatokunbo Ifayemi Odutayo, R.N.

Title

Director of Nursing

Phone

(832) 859-3932

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273276800000",
    "number": "1528386091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 S MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770252707",
            "telephone_number": "713-661-0001",
            "fax_number": "713-669-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DICKERSON DR",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515110",
            "telephone_number": "713-661-0001",
            "fax_number": "713-669-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-08",
        "last_updated": "2010-05-08",
        "status": "A",
        "authorized_official_last_name": "ODUTAYO",
        "authorized_official_first_name": "OLATOKUNBO",
        "authorized_official_middle_name": "IFAYEMI",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "832-859-3932",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "K 6196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lee Kahla
• Marquita Arnell King, RN
• Robert Wayne King, D.MIN LPC LCDC RSOTP
• Eric R Koch, DDS
• Lakes Area Hospice, Inc.
• Burton Neal Lakey, WHC NP
• Bric Lee Langford, D.C.
• Summer Lee Langford, D.C.
• Windolyn Shadae Leach
• Lehmann Eye Center of Jasper, PA

• Rural Acute Care Hospital in Jasper, TX
• Providers in Jasper, TX by specialty
• Rural Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2010; 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.