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Organization

MEMORIAL HERMANN HEALTH SYSTEM

Active
Other names
Memorial Hermann Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS LARAWAY (CHIEF FINANCIAL OFFICER)
(713) 242-2707
Entity
Organization

Contact information

Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-6614
(713) 704-4798
Mailing address
PO BOX 301208, DALLAS, TX 75303-1208
(713) 338-4127

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
TX
282N00000X
General Acute Care Hospital
Primary
000347
TX
291U00000X
Clinical Medical Laboratory
TX
3416A0800X
Air Ambulance
3416L0300X
Land Ambulance

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112796102
TX
05
137805103
TX
05
137805107
TX
05
137805108
TX
01
HH0196
BCBS
Enumeration date
04/04/2006
Last updated
02/25/2016
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