MEMORIAL HERMANN HEALTH SYSTEM; NPI #1710985098

Contact Information

MEMORIAL HERMANN HEALTH SYSTEM

1333 MOURSUND ST
HOUSTON, TX 77030-3405

Phone: 713-799-5000
Fax: 713-338-4158
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rehabilitation Hospital	283X00000X	A0[7]	Hospital-Rehabilitation (PPS excluded)
Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for MEMORIAL HERMANN HEALTH SYSTEM

NPI Number 1710985098

LBN Legal business name MEMORIAL HERMANN HEALTH SYSTEM

Authorized official DEBORAH GORDON - (EVP, CAO & CHIEF LEGAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/12/2005

Last updated 05/23/2023 - About 3 years ago

Identifiers

TX	License #	000164
TX	Medicaid	138003201
TX	Medicaid	138003202
TX	Medicaid	138003205
TX	Medicaid	138003207
TX	Medicaid	138003209
TX	Medicaid	138003210
TX	Medicaid	337433201
TX	Medicaid	337433207
TX	Other	4538530	AETNA INSURANCE
TX	Other	HH0696	BLUE CROSS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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