PROVIDENCE CLEARLAKE SPECIALTY HOSPITAL LLC (NPI# 1457839516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457839516 |
Entity Type | Organization |
Organization Name | PROVIDENCE CLEARLAKE SPECIALTY HOSPITAL LLC |
Other Organization Name | CLEARLAKE SPECIALTY HOSPITAL |
Practice Address |
1351 Clearlake City Blvd Houston TX 77062 |
Mailing Address |
20320 Northwest Fwy Ste 900 Jersey Village TX 77065-5620 |
Practice Telephone | 2814537232 |
Practice Fax Number | 2814532203 |
Mailing Telephone | 2814537232 |
Mailing Fax Number | 2814532203 |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |
Authorized Official Name | ARIN TIJERINA (CREDENTIALING) |
Authorized Official Telephone | 2814537232 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 284300000X | Special Hospital | Hospitals |
Other Name | Type Code |
---|---|
CLEARLAKE SPECIALTY HOSPITAL | Doing Business As Name - Organization |
Street Address |
1351 CLEARLAKE CITY BLVD |
City | HOUSTON |
State | TX |
Zip Code | 77062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073136628 | Providence Er of Clearlake, Pllc | Clinic/Center | 1351 Clearlake City Blvd, Houston, TX 77062 | 2020-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881163582 | Amy Ceniza Babanto | Assistant Behavior Analyst | 1001 Pineloch Drive, Suite 600, Houston, TX 77062 | 2018-11-26 |
1669977468 | Distinct Abilities Academic Preschool, LLC | Occupational Therapist | 14045 Space Center Blvd., Houston, TX 77062 | 2018-03-26 |
1568984128 | Sydney Ann Hayes | Specialist/Technologist | 15818 Seahorse Dr., Houston, TX 77062 | 2017-07-14 |
1114389509 | Jts Express Transportation Services, LLC | Private Vehicle | 806 Oak Harbor Drive, Houston, TX 77062 | 2016-03-24 |
1609269505 | Lauren Amilcar | Pharmacist | 16590 El Camilo Real, Houston, TX 77062 | 2015-03-17 |
1457609000 | Marilyn Ann Straitwell | Registered Nurse | 2323 Clear Lake City Blvd., Suite 180-213, Houston, TX 77062 | 2012-08-29 |
1447537477 | Julie H Du | Dentist | 2323 Clear Lake City Blvd. #140, Houston, TX 77062 | 2011-11-04 |
1437488756 | Yolanda Franklin | Massage Therapist | 16646 La Avenida Dr., Houston, TX 77062 | 2009-12-16 |
1992034391 | Phuong-anh 'christy' Nguyen | Nurse Practitioner | 14642 St. Cloud, Houston, TX 77062 | 2009-12-14 |
1699907170 | Michael T Martin | Chiropractor | 907 El Dorado Blvd., Suite B, Houston, TX 77062 | 2009-08-17 |
Find all providers in zip 77062 |
Taxonomy Code | 284300000X |
Grouping | Hospitals |
Classification | Special Hospital |
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. |
Notes: Source: AHA Guide, Registration section, p. A5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528557881 | The Hospital At I-10 | Special Hospital | 9430 Old Katy Road, Suite 100, Houston, TX 77055 | 2018-05-02 |
1922461623 | Lauren Michelle Williams | Special Hospital | 9718 Katy Fwy, Houston, TX 77055-6209 | 2016-03-30 |
1588049076 | Michael Joseph Metcalfe | Special Hospital | 2222 Maroneal St Unit 2013, Houston, TX 77030-3255 | 2015-07-24 |
1205176955 | Uth Cardiovascular Surgery | Special Hospital | 7520 Brompton St Apt 676, Houston, TX 77025-2250 | 2013-02-17 |
1538117452 | Us Pain & Spine Hospital, Lp | Special Hospital | 5445 La Branch, Houston, TX 77004 | 2006-05-04 |
1851855795 | New Horizon Hospital, LLC | Special Hospital | 17506 Red Oak Dr, Houston, TX 77090-1248 | 2019-01-24 |
1649781915 | Altus Houston Hospital Lp | Special Hospital | 6011 W Sam Houston Pkwy S, Houston, TX 77072 | 2017-10-13 |
1740725621 | Iatric LLC | Special Hospital | 3118 Bainbridge Hill Ln, Houston, TX 77047-1166 | 2016-12-30 |
1043674989 | University of Kentucky College of Medicine | Special Hospital | 1 Baylor Plz, Baylor College of Medicine, Pathology, Mc 315, Houston, TX 77030-3411 | 2016-04-06 |
1518350297 | Polaris Health System, Inc. | Special Hospital | 3204 Ennis St, Houston, TX 77004-3213 | 2015-03-05 |
Find all providers in HOUSTON |
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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.