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NPI Code Detail

MEDICARE: TRIUMPH HOSPITAL OF NORTH HOUSTON, LP

MEDICARE: TRIUMPH HOSPITAL OF NORTH HOUSTON, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282E00000XLong Term Care Hospital007134TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2HH1003OTHERTXBCBS

General Provider Information

NPI Number : 1285626028
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRIUMPH HOSPITAL OF NORTH HOUSTON, LP
Provider Business Mailing Address
First Line : 680 S 4TH ST
Second Line : K-LIVE 5 REIMBURSEMENT
City : LOUISVILLE
State : KY
Zip : 40202-2407
Country : US
Telephone Number : 502-596-7300
Fax Number : 502-596-4134
Provider Business Practice Location Address
First Line : 205 HOLLOW TREE LN
Second Line :
City : HOUSTON
State : TX
Zip : 77090-2801
Country : US
Telephone Number : 832-249-2700
Fax Number : 281-255-2954
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : MR. TERRANCE K. DILLON
Credential :
Telephone Number : 502-596-7220
Provider Enumeration Date : 08/18/2005
Last Update Date : 01/09/2020

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