NPIMap

Organization Active NPI

Jed, Inc

  • Health Maintenance Organization
  • Conroe, TX
National Provider Identifier
1700331014
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
143560 Issued in TX
Legal business name
JED, INC
Doing business as
CHATEAU WOODLANDS
Practice address
327 Tallow Dr
Conroe, TX 77385-9533
Phone
(832) 884-3839
Fax
(281) 296-0066
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Mrs. Jacquelyn Churchill
Title
Owner
Phone
(832) 884-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 143560 TX Primary

Addresses

Primary practice location

327 Tallow Dr
Conroe, TX 77385-9533

Mailing address

327 Tallow Dr
Conroe, TX 77385-9533
Phone (832) 884-3839

Other names 1

  • CHATEAU WOODLANDS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chateau Woodlands2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1700331014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 TALLOW DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773859533",
            "telephone_number": "832-884-3839",
            "fax_number": "281-296-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 TALLOW DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773859533",
            "telephone_number": "832-884-3839",
            "fax_number": "281-296-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-884-3839",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "143560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHATEAU WOODLANDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.