Active NPI
Conroe Medical Center
- Emergency Care Clinic/Center
- Conroe, TX
National Provider Identifier
1891171708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- License
- 160181
- Legal business name
- CONROE MEDICAL CENTER
- Practice address
- 3840 W Davis St
Conroe, TX 77304-1838 - Phone
- (972) 899-6625
- NPI assigned
- Aug 3, 2015
- Organization subpart
- Yes
- Parent organization
- FIRST CHOICE EMERGENCY ROOM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Fielding
- Title
- Cfo
- Phone
- (972) 899-6650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | 160181 | TX | Primary |
Addresses
Primary practice location
3840 W Davis St
Conroe, TX 77304-1838
Mailing address
PO Box 840795
Dallas, TX 75284-0795
Phone (972) 899-6625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 434148 | Other | TX | JCAHO |
National Provider Directory
National Provider Directory- Part of
- Conroe Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445299200000",
"number": "1891171708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840795",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840795",
"telephone_number": "972-899-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 W DAVIS ST",
"city": "CONROE",
"state": "TX",
"postal_code": "773041838",
"telephone_number": "972-899-6625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONROE MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FIRST CHOICE EMERGENCY ROOM",
"enumeration_date": "2015-08-03",
"last_updated": "2015-10-20",
"status": "A",
"authorized_official_last_name": "FIELDING",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "972-899-6650"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": "TX",
"license": "160181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JCAHO",
"identifier": "434148",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
- Conroe Fsed LLC
- Conroe Home Medical Equipment, Inc
- Conroe Independent School District
- Conroe Intensivist Group LLC
- Conroe MC Partners, LP
- Conroe Medical Equipment
- Conroe Medihealth Associates PA (MediClinic Conroe)
- Conroe Montgomery Physicians Group, PLLC
- Conroe Physical Medicine and Rehabilitation PA (Apex Physical Medicine and Rehab.)
- Conroe Premier Sleep Center, LP (Conroe Premier Sleep Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.