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MEMORIAL HERMANN HEALTH SYSTEM NPI 1578561619


NPI Information

NPI: 1578561619
Provider Name: MEMORIAL HERMANN HEALTH SYSTEM

Doing Business As: MEMORIAL HERMANN TRC

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
3512 HIGHWAY 365
NEDERLAND, TX
ZIP 77627
Phone: (409) 722-7116
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MEMORIAL HERMANN HEALTH SYSTEM is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Nederland, TX. MEMORIAL HERMANN HEALTH SYSTEM NPI is 1578561619. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Hermann Trc.

The provider's business location address is:

3512 HIGHWAY 365
NEDERLAND, TX
ZIP 77627-834
Phone: (409) 722-7116
Fax: (281) 669-0427

The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (713) 242-2707.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 7/1/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1456682MEDICARE OSCAR/CERTIFICATIONTEXAS
2021686301MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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