# PROGRESSIVE HEALTH OF HOUSTON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROGRESSIVE HEALTH OF HOUSTON, LLC
- **Other names:** Progressive Health Group-SWB, Progressive Health Group of Houston
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366209728
- **Legal business name:** PROGRESSIVE HEALTH OF HOUSTON, LLC
- **Authorized official:** ROBERT QUENTIN WHITWELL (CEO)
- **Authorized official phone:** (662) 701-9346

## Contact information

- **Practice address:** 1002 E MADISON ST, HOUSTON, MS 38851-2428
- **Practice address phone:** (662) 456-3700
- **Practice address fax:** (662) 456-1717
- **Mailing address:** PO BOX 626, HOUSTON, MS 38851-0626
- **Mailing address phone:** (662) 456-3700
- **Mailing address fax:** (662) 456-1717

## Taxonomy

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

## Other

- **Enumeration date:** 03/04/2024
- **Last updated:** 07/26/2024