# SOUTHERN HEALTH CORP OF HOUSTON INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHERN HEALTH CORP OF HOUSTON INC
- **Other names:** Trace Regional Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306925102
- **Legal business name:** SOUTHERN HEALTH CORP OF HOUSTON INC
- **Authorized official:** SHEILA BROCKMAN (CEO)
- **Authorized official phone:** (662) 456-3700

## Contact information

- **Practice address:** 1002 E MADISON ST, HOUSTON, MS 38851-2428
- **Practice address phone:** (662) 456-3700
- **Practice address fax:** (662) 456-1159
- **Mailing address:** 1002 E MADISON ST, HOUSTON, MS 38851-2428
- **Mailing address phone:** (662) 456-3700
- **Mailing address fax:** (662) 456-1083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 01/18/2024