# ST. LUKE'S HOSPITAL AT THE VINTAGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. LUKE'S HEALTH SYSTEM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558682443
- **Legal business name:** ST. LUKE'S HEALTH SYSTEM
- **Authorized official:** MS. PENNY TILLMAN MD (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (832) 355-2189

## Contact information

- **Practice address:** 20171 CHASEWOOD PARK DRIVE, HOUSTON, TX 77070
- **Practice address phone:** (832) 355-3862
- **Mailing address:** 3100 MAIN ST STE 663D, HOUSTON, TX 77002-9312
- **Mailing address phone:** (832) 355-5949
- **Mailing address fax:** (832) 355-7492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | TX | Yes |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 01/06/2015