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MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION NPI 1124537287


NPI Information

NPI: 1124537287
Provider Name: MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION

Doing Business As: MEMORIAL HERMANN HEALTH CENTERS FOR SCHOOLS--ELROD CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2052390

Address:
6230 DUMFRIES DR
HOUSTON, TX
ZIP 77096
Phone: (713) 771-1805
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MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION is a primary care clinic center in Houston, TX. MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION NPI is 1124537287. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Hermann Health Centers For Schools--elrod Clinic.

The provider's business location address is:

6230 DUMFRIES DR
HOUSTON, TX
ZIP 77096-603
Phone: (713) 771-1805
Fax: (713) 771-1849

The provider's authorized official is Carol Paret .
The authorized official title is Chief Community Health Officer and has the following contact phone number (713) 338-5983.

The CLIA number assigned to this NPI record is 45D2052390 - other - school based health cntr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2017 and was last updated on 9/29/2022.


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
1261QP2300XClinic/CenterPrimary CareYes

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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