PROVIDENCE CLEARLAKE SPECIALTY HOSPITAL LLC


Address: 1351 Clearlake City Blvd, Houston, TX 77062
Phone: 2814537232

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 284300000X Special Hospital Hospitals

Other Provider/Organization Names

Other Name Type Code
CLEARLAKE SPECIALTY HOSPITAL Doing Business As Name - Organization

Office Location

Street Address 1351 CLEARLAKE CITY BLVD
City HOUSTON
State TX
Zip Code 77062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073136628 Providence Er of Clearlake, Pllc Clinic/Center 1351 Clearlake City Blvd, Houston, TX 77062 2020-05-18

Providers in the same zip code

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 Information

Taxonomy Code 284300000X
Grouping Hospitals
Classification Special Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City HOUSTON
Zip Code 77062

Improve Information

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Dataset Information

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.

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