MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION (NPI# 1073022091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073022091 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION |
| Other Organization Name | MEMORIAL HERMANN HEALTH CENTERS FOR SCHOOLS--KRUSE CLINC |
| Practice Address |
400 Park Ln Suite M Pasadena TX 77506 |
| Mailing Address |
909 Frostwood Dr Ste 2.205 Houston TX 77024-2301 |
| Practice Telephone | 8326585230 |
| Practice Fax Number | 7134730385 |
| Mailing Telephone | 7133385982 |
| Mailing Fax Number | 7133384542 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | CAROL PARET (CHIEF COMMUNITY HEALTH OFFICER) |
| Authorized Official Telephone | 7133385983 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Memorial Hermann Health Centers for Schools--Kruse Clinc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841709904 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 1100 Merrill St, Houston, TX 77009-6009 | 2017-09-21 |
| 1124537287 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 6230 Dumfries Dr, Houston, TX 77096-4603 | 2017-09-21 |
| 1851800916 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 315 Berry Rd # 1777, Houston, TX 77022-3209 | 2017-09-21 |
| 1881103091 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 2003 Ww Thorne Blvd # Tm-01, Houston, TX 77073-3301 | 2017-09-20 |
| 1548779606 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 12360 Bear Ram Road, #t-1, Houston, TX 77072 | 2017-09-21 |
| 1154830172 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 5500 Avenue N, Rosenberg, TX 77471-5652 | 2017-09-21 |
| 1740799980 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 1002 E Stadium Dr, Rosenberg, TX 77471-2579 | 2017-09-20 |
| 1184133399 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 7504 Bissonnet St # T-9, Houston, TX 77074-5502 | 2017-09-20 |
| 1275817504 | Memorial Hermann Community Benefit Corporation | Family Medicine | 1500 Main St, South Houston, TX 77587-4252 | 2011-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION | 909 Frostwood Ste 2.205, Houston, TX 77024-2301 |
| Street Address |
400 PARK LN SUITE M |
| City | PASADENA |
| State | TX |
| Zip Code | 77506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315390 | Burke Childrens Pllc | Pediatrics | 900 West Jackson Ave, Suite 170, Pasadena, TX 77506 | 2020-01-10 |
| 1285276741 | Concepcion Salamanca | Technician | 507 Live Oak St., Pasadena, TX 77506 | 2019-10-16 |
| 1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
| 1386080844 | Effie Juanita Wilkerson | Pharmacist | 927 East Shaw Rd, Pasadena, TX 77506 | 2013-05-10 |
| 1083988307 | Benjamin F Contreras | Dentist | 1027 Main Street, Suite A, Pasadena, TX 77506 | 2012-03-05 |
| 1386950699 | Yen Hoang Nguyen | Pharmacist | 927 East Shaw Road, Pasadena, TX 77506 | 2010-08-24 |
| 1104065135 | Rashmi Rode | Family Medicine | 927 E Shaw St, Pasadena, TX 77506 | 2009-02-15 |
| 1265687974 | Preethi Vijay Nambi | Internal Medicine | 927, E Shaw Road, Pasadena, TX 77506 | 2008-11-21 |
| 1841364676 | Dino J. Demetriou | Chiropractor | 1120 Pasadena Blvd, Pasadena, TX 77506 | 2006-11-20 |
| 1922186709 | Perfect 20/20 Eyecare, P.a. | Optometrist | 1107 S Shaver St., Pasadena, TX 77506 | 2006-11-01 |
| Find all providers in zip 77506 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861786782 | S.e. Complete Family Care | Clinic/Center | 1907 Southmore Ave # 5, Pasadena, TX 77502-1314 | 2011-06-08 |
| 1487956553 | Kkt Medical, Pllc | Clinic/Center | 2615 Strawberry Road, Pasadena, TX 77502 | 2010-11-23 |
| 1538482567 | Irina Jasper Md A Professional Corp | Clinic/Center | 960 E Green St Ste 286, Pasadena, CA 91106-2420 | 2010-03-04 |
| 1710538095 | Dareen Khalaf PCp Inc | Clinic/Center | 215 N Allen Ave, Pasadena, CA 91106-1601 | 2019-09-27 |
| 1740691047 | First Choice Mobile Medicine, Inc. | Clinic/Center | 1650 E Walnut St, Pasadena, CA 91106-1619 | 2014-05-08 |
| 1093136582 | Annie A. Barseghian Md Inc | Clinic/Center | 800 Fairmount Ave, Suite 210, Pasadena, CA 91105-3150 | 2013-12-30 |
| 1679826226 | Ayad Alanizi, Md, Inc. | Clinic/Center | 127 N Madison Ave Ste 106, Pasadena, CA 91101-1750 | 2012-10-19 |
| 1598033920 | Jacklin Poladian, M.d., Inc. | Clinic/Center | 301 S Fair Oaks Ave, Suite 403, Pasadena, CA 91105-2561 | 2011-12-13 |
| 1245526029 | Canyon Vista Healthcare Medical Corporation | Clinic/Center | 2319 E Washington Blvd, Suite One, Pasadena, CA 91104-1945 | 2011-06-21 |
| 1477797306 | Eclat Medical, Inc | Clinic/Center | 50 Bellefontaine St, #203, Pasadena, CA 91105-3132 | 2009-04-22 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.