SJ MEDICAL CENTER, LLC (ST. JOSEPH MEDICAL CENTER) - NPI NUMBER 1154361475

Summary

Provider Name: SJ MEDICAL CENTER, LLC (ST. JOSEPH MEDICAL CENTER)

NPI Number: 1154361475

Clasification: General Acute Care Hospital (282N00000X)

Address:
1401 ST JOSEPH PKWY
HOUSTON, TX
ZIP 77002

Phone Number: (713) 757-1000



Detailed Information

SJ MEDICAL CENTER, LLC is a general acute care hospital in Houston, TX. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. The assigned NPI number for this provider is 1154361475 and is registered as an organization entity type.
The provider Is Doing Business As St. Joseph Medical Center.

The provider's business address is:

1401 ST JOSEPH PKWY
HOUSTON, TX
ZIP 77002-301
Phone: (713) 757-1000
Fax: (713) 657-7123

The provider's authorized official is Mark L Bernard .
The authorized official title is Hospital Ceo and has the following contact phone number (713) 757-1000.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 7/10/2014.

Map - Location of Practice

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Taxonomy Codes

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
1 282N00000X General Acute Care Hospital 000015 TX Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 450035 MEDICARE OSCAR/CERTIFICATION TX
2 1817066-01 MEDICAID TX

NPI Record

No. Field Name Field Value
1 NPI 1154361475
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name SJ MEDICAL CENTER, LLC
5 Provider Other Organization Name ST. JOSEPH MEDICAL CENTER
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 1401 ST JOSEPH PKWY
8 Provider Business Practice Location Address City Name HOUSTON
9 Provider Business Practice Location Address State Name TX
10 Provider Business Practice Location Address Postal Code 770028301
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 7137571000
13 Provider Business Practice Location Address Fax Number 7136577123
14 Provider Enumeration Date 6/7/2006
15 Last Update Date 7/10/2014
16 Authorized Official Last Name BERNARD
17 Authorized Official First Name MARK
18 Authorized Official Middle Name L
19 Authorized Official Title or Position HOSPITAL CEO
20 Authorized Official Telephone Number 7137571000
21 Healthcare Provider Taxonomy Code 1 282N00000X
22 Provider License Number 1 000015
23 Provider License Number State Code 1 TX
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Other Provider Identifier 1 450035
26 Other Provider Identifier Type Code 1 06
27 Other Provider Identifier State 1 TX
28 Other Provider Identifier 2 1817066-01
29 Other Provider Identifier Type Code 2 05
30 Other Provider Identifier State 2 TX
31 Is Organization Subpart N

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.