MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION (NPI# 1275817504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275817504 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION |
| Other Organization Name | MEMORIAL HERMANN HEALTH CENTERS FOR SCHOOLS--WAVE CLINIC |
| Practice Address |
1500 Main St South Houston TX 77587-4252 |
| Mailing Address |
909 Frostwood Dr Houston TX 77024-2301 |
| Practice Telephone | 7139467461 |
| Mailing Telephone | (713) 338-5983 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | CAROL PARET (CHIEF COMMUNITY BENEFIT OFFICER) |
| Authorized Official Telephone | 7133385983 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | F0899 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | F0889 | TX | Allopathic & Osteopathic Physicians |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Memorial Hermann Health Centers for Schools--WAVE Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073022091 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 400 Park Ln, Suite M, Pasadena, TX 77506 | 2017-09-21 |
| 1841709904 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 1100 Merrill St, Houston, TX 77009-6009 | 2017-09-21 |
| 1124537287 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 6230 Dumfries Dr, Houston, TX 77096-4603 | 2017-09-21 |
| 1851800916 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 315 Berry Rd # 1777, Houston, TX 77022-3209 | 2017-09-21 |
| 1881103091 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 2003 Ww Thorne Blvd # Tm-01, Houston, TX 77073-3301 | 2017-09-20 |
| 1548779606 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 12360 Bear Ram Road, #t-1, Houston, TX 77072 | 2017-09-21 |
| 1154830172 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 5500 Avenue N, Rosenberg, TX 77471-5652 | 2017-09-21 |
| 1740799980 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 1002 E Stadium Dr, Rosenberg, TX 77471-2579 | 2017-09-20 |
| 1184133399 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 7504 Bissonnet St # T-9, Houston, TX 77074-5502 | 2017-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION | 909 Frostwood Ste 2.205, Houston, TX 77024-2301 |
| Street Address |
1500 MAIN ST |
| City | SOUTH HOUSTON |
| State | TX |
| Zip Code | 77587-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013242320 | Margaret Alice Vasquez | Nurse Practitioner | 1500 Main St, South Houston, TX 77587-4252 | 2009-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679911747 | Abisoye Ifaseyi Odutayo | Nurse Practitioner | 1201 S. Alen Genoa Rd, South Houston, TX 77587 | 2013-06-11 |
| 1902918121 | Gail Anne Overland | Counselor | 3926 Bahler Rd, Manvel, TX 77587 | 2006-09-01 |
| 1932484540 | Turning Points | Community/Behavioral Health | 1309 Ave J, South Houston, TX 77587 | 2011-10-14 |
| 1881900488 | Ramneek Rai | Dentist | 701 College Ave, South Houston, TX 77587 | 2010-08-20 |
| 1902233257 | Nikorxpharmacy | Pharmacy | 207 Winton St, South Houston, TX 77587-3433 | 2013-10-02 |
| 1922019413 | Genesis Pharmacy Inc | Pharmacy | 1611 Spencer Hwy Ste F, South Houston, TX 77587-3714 | 2006-08-10 |
| 1780231308 | Rx Healer Inc | Pharmacy | 1611 Spencer Hwy Ste F, South Houston, TX 77587-3714 | 2019-08-19 |
| 1871826271 | Houston Dds, PC | Dentist | 1632 Spencer Hwy, South Houston, TX 77587-3752 | 2009-09-16 |
| 1407464266 | Uyen Hoang | Dentist | 1632 Spencer Hwy, South Houston, TX 77587-3752 | 2020-07-17 |
| 1407333404 | Jaeyoon Jeong | Dentist | 1632 Spencer Hwy, South Houston, TX 77587-3752 | 2018-07-23 |
| Find all providers in zip 77587 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
| 1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
| 1902403769 | Apogee Health Promotions | Clinic/Center | 105 Cottage Rd # B, Carthage, TX 75633-1507 | 2020-10-05 |
| 1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HOUSTON |
| Zip Code | 77587 |
Please comment or provide details below to improve the information on MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.