Organization
ST. LUKE'S HOSPITAL AT THE VINTAGE LLC
Active
Parent organization
ST. LUKE'S HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S HEALTH SYSTEM
Authorized official
MS. PENNY TILLMAN MD (CHIEF FINANCIAL OFFICER)
(832) 355-2189
Entity
Organization
Contact information
Practice address
20171 CHASEWOOD PARK DRIVE, HOUSTON, TX 77070
(832) 355-3862
Mailing address
3100 MAIN ST STE 663D, HOUSTON, TX 77002-9312
(832) 355-5949
(832) 355-7492
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219386401
—
TX
Enumeration date
06/15/2010
Last updated
01/06/2015
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