MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION (NPI# 1740799980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740799980 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION |
| Other Organization Name | MEMORIAL HERMANN HEALTH CENTERS FOR SCHOOLS--LAMAR CLINIC |
| Practice Address |
1002 E Stadium Dr Rosenberg TX 77471-2579 |
| Mailing Address |
909 Frostwood Dr Ste 2.205 Houston TX 77024-2301 |
| Practice Telephone | 2817628383 |
| Mailing Telephone | 7133385983 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | CAROL PARET (CHIEF COMMUNITY HEALTH OFFICER) |
| Authorized Official Telephone | 7133385983 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Memorial Hermann Health Centers for Schools--Lamar 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 |
| 1184133399 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 7504 Bissonnet St # T-9, Houston, TX 77074-5502 | 2017-09-20 |
| 1275817504 | Memorial Hermann Community Benefit Corporation | Family Medicine | 1500 Main St, South Houston, TX 77587-4252 | 2011-10-05 |
| 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 |
1002 E STADIUM DR |
| City | ROSENBERG |
| State | TX |
| Zip Code | 77471-2579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093820490 | Roosevelt Stacy | Social Worker | 1002 E Stadium Dr, Rosenberg, TX 77471-2579 | 2006-08-19 |
| 1164756128 | Lisa Lu Kimmey-walker | Nurse Practitioner | 1002 E Stadium Dr, Rosenberg, TX 77471-2579 | 2009-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702358 | Thelma Parker Baines | Clinic/Center | 1910 Buttonwood Trail, Rosenberg, TX 77471 | 2020-05-19 |
| 1720638703 | Tulip Pharmacy LLC | Pharmacy | 1020 Herndon Dr, Rosenberg, TX 77471 | 2019-09-12 |
| 1639723513 | Victoria Miller | Counselor | 2002 Queensroch, Rosenberg, TX 77471 | 2019-07-29 |
| 1902370786 | Rosenberg Family Smiles Pllc | Dentist | 4114 Ave H, Rosenberg, TX 77471 | 2019-01-15 |
| 1841760154 | Future Winners of Texas LLC | Community/Behavioral Health | 1136 Old Radio Ln #117, Rosenberg, TX 77471 | 2018-11-29 |
| 1073081048 | Ares Ranada | Registered Nurse | 3101 Place Vista Drive, Apt # 2309, Rosenberg, TX 77471 | 2018-11-08 |
| 1902397060 | Gibbs and Associates Counseling Services | Counselor | 5609 Walid Ln, Rosenberg, TX 77471 | 2018-05-24 |
| 1275923815 | Evelyn Boykins | Driver | 1035 Vera Cruz Dr., Rosenberg, TX 77471 | 2015-02-04 |
| 1902240161 | Made Ya Smile Rosenberg Pllc | Dentist | 23503 Brazos Town Crossing, Ste. 300, Rosenberg, TX 77471 | 2013-04-18 |
| 1912244419 | Debra R Elliott | Physician Assistant | 2520 Bf Terry Blvd., Fm 2218, Rosenberg, TX 77471 | 2013-01-04 |
| Find all providers in zip 77471 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154830172 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 5500 Avenue N, Rosenberg, TX 77471-5652 | 2017-09-21 |
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| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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| 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.