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.
Organization
SOUTHERN HEALTH CORP OF HOUSTON, INC.
Active
Organization
SOUTHERN HEALTH CORP OF HOUSTON, INC.
Active
Other names
Trace Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA BROCKMAN (CEO)
(662) 456-3700
Entity
Organization
Contact information
Practice address
1002 E MADISON ST, HOUSTON, MS 38851-2428
(662) 456-3700
(662) 456-1083
Mailing address
PO BOX 626, HOUSTON, MS 38851
(662) 456-3701
(662) 456-1083
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
12296
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020031
BC
—
05
—
00220415
—
MS
05
—
00220424
—
MS
05
—
09013117
—
MS
05
—
09013354
—
MS
01
—
C 02044
MEDICARE / CAHABA
MS
01
—
C00717
MEDICARE / CAHABA
MS
01
—
C02335
MEDICARE / CAHABA
MS
Enumeration date
07/26/2006
Last updated
01/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up