MEDICARE: HERMANN DRIVE SURGICAL HOSPITAL

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
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1598057580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERMANN DRIVE SURGICAL HOSPITAL

Provider Business Mailing Address
First Line	:	2201 TIMBERLOCH PL
Second Line	:	SUITE 200
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1141
Country	:	US
Telephone Number	:	281-863-2100
Fax Number	:	281-292-2773

Provider Business Practice Location Address
First Line	:	2001 HERMANN DR
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77004-7643
Country	:	US
Telephone Number	:	713-285-5500
Fax Number	:	713-285-5582

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MRS. BELINDA SIMPSON
Credential	:	MBA, RHIA, CHC, CHPC
Telephone Number	:	281-863-2100

Provider Enumeration Date	:	05/09/2011
Last Update Date	:	09/22/2015

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