Organization Active NPI

Winslow Medical Center, Inc.

  • Health Maintenance Organization
  • Kingwood, TX
National Provider Identifier
1568652709
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
M3356 Issued in TX
Legal business name
WINSLOW MEDICAL CENTER, INC.
Doing business as
Kingwood Urgent Care and Special Clinic
Practice address
2601 W Lake Houston Pkwy
Kingwood, TX 77339-5222
Phone
(281) 360-7502
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Authorized official

Name
George Rodney Petry, MD
Title
Medical Director
Phone
(281) 360-7502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X M3356 TX Primary

Addresses

Primary practice location

2601 W Lake Houston Pkwy
Kingwood, TX 77339-5222

Mailing address

2601 W Lake Houston Pkwy
Kingwood, TX 77339-5222
Phone (281) 360-7502

Other names 1

  • Kingwood Urgent Care and Special Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kingwood Urgent Care and Special Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1568652709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W LAKE HOUSTON PKWY",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395222",
            "telephone_number": "281-360-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W LAKE HOUSTON PKWY",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395222",
            "telephone_number": "281-360-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "PETRY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-360-7502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "M3356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingwood Urgent Care and Special Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.