# MEMORIAL HERMANN HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Hermann Hospital SNF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245266303
- **Authorized official:** MR. DENNIS LARAWAY (CFO)
- **Authorized official phone:** (713) 242-2707

## Contact information

- **Practice address:** 6411 FANNIN ST, HOUSTON, TX 77030-1501
- **Practice address phone:** (713) 704-6614
- **Practice address fax:** (713) 704-4798
- **Mailing address:** PO BOX 301208, DALLAS, TX 75303-1208
- **Mailing address phone:** (713) 338-4127
- **Mailing address fax:** (713) 338-4158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 000347 | TX | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 06/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 137805107 | — | TX |