1154361475 NPI NUMBER - SJ MEDICAL CENTER, LLC
Summary
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NPI Number |
1154361475 |
| Entity Type Code |
Organization |
| Provider Legal Name |
SJ MEDICAL CENTER, LLC |
| Provider Business Practice Location Address |
1401 ST JOSEPH PKWY
HOUSTON, TX
ZIP 77002
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| Practice Location Phone Number |
(713) 757-1000 |
| Provider Taxonomy Code |
282N00000X - General Acute Care Hospital |
| Specialization |
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| Provider Enumeration Date |
6/7/2006 |
| Last Update Date |
6/13/2011 |
NPI Number 1154361475 is assigned to an organization registered under the healthcare provider name SJ MEDICAL CENTER, LLC .
The provider is doing business as ST. JOSEPH MEDICAL CENTER .
The provider is physically located at:
1401 ST JOSEPH PKWY
HOUSTON, TX
ZIP 77002-301
Phone: (713) 757-1000
Fax: (713) 657-7123
The provider's authorized official is PATRICK MATHEWS .
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 6/13/2011 .
Map - Location of Practice
Taxonomy Codes
The following information regarding the scope of practice of this provider is available:
| 1 |
282N00000X |
General Acute Care Hospital |
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000015 |
TX |
View Code |
Other (Legacy) Identifiers
The following legacy identifiers for this provider are available:
| 1 |
450035 |
MEDICARE OSCAR/CERTIFICATION |
TX |
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NPI Record
| 1 |
NPI |
1154361475 |
| 2 |
Entity Type Code |
2 |
| 3 |
Employer Identification Number EIN |
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| 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 |
6/13/2011 |
| 16 |
Authorized Official Last Name |
MATHEWS |
| 17 |
Authorized Official First Name |
PATRICK |
| 18 |
Authorized Official Title or Position |
HOSPITAL CEO |
| 19 |
Authorized Official Telephone Number |
7137571000 |
| 20 |
Healthcare Provider Taxonomy Code 1 |
282N00000X |
| 21 |
Provider License Number 1 |
000015 |
| 22 |
Provider License Number State Code 1 |
TX |
| 23 |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
| 24 |
Other Provider Identifier 1 |
450035 |
| 25 |
Other Provider Identifier Type Code 1 |
06 |
| 26 |
Other Provider Identifier State 1 |
TX |
| 27 |
Is Organization Subpart |
N |
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This page was last updated on: 5/14/2013
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.