MEDICARE: RENAISSANCE HOSPITALS INC

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	000515	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1639172778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RENAISSANCE HOSPITALS INC

Provider Business Mailing Address
First Line	:	PO BOX 11527
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77293-1527
Country	:	US
Telephone Number	:	832-886-1900
Fax Number	:	281-227-1039

Provider Business Practice Location Address
First Line	:	5500 39TH ST
Second Line	:
City	:	GROVES
State	:	TX
Zip	:	77619-2905
Country	:	US
Telephone Number	:	409-962-5733
Fax Number	:	409-963-5388

Authorized Official
Title or Position	:	CFO
Name	:	MR. MICHAEL SMESNEY
Credential	:
Telephone Number	:	832-886-1900

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	06/24/2008

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Directions to “RENAISSANCE HOSPITALS INC ” Practice Location

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