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ST LUKE'S LAKESIDE HOSPITAL LLC NPI 1184868879


NPI Information

NPI: 1184868879
Provider Name: ST LUKE'S LAKESIDE HOSPITAL, LLC

Doing Business As: ST LUKE'S LAKESIDE HOSPITAL

Classification: Special Hospital - 284300000X
Entity Type: Organization
Address:
17400 ST. LUKE'S WAY
THE WOODLANDS, TX
ZIP 77384
Phone: (936) 266-4055
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ST LUKE'S LAKESIDE HOSPITAL, LLC is a special hospital in The Woodlands, TX. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. ST LUKE'S LAKESIDE HOSPITAL, LLC NPI is 1184868879. The provider is registered as an organization entity type.
The provider Is Doing Business As St Luke's Lakeside Hospital.

The provider's business location address is:

17400 ST. LUKE'S WAY
THE WOODLANDS, TX
ZIP 77384
Phone: (936) 266-4055
Fax: (936) 266-4051

The provider's authorized official is Mary Sue Lipham .
The authorized official title is Chief Financial Officer and has the following contact phone number (936) 266-2030.

The enumeration date for this NPI number is 4/24/2009 and was last updated on 1/6/2015.


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
1284300000XSpecial HospitalYes

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
1670059MEDICARE OSCAR/CERTIFICATIONTEXAS
2160630301MEDICAIDTEXAS

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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