Provider Demographics
NPI:1164867198
Name:VICTORY MEDICAL CENTER CRAIG RANCH, LP
Entity Type:Organization
Organization Name:VICTORY MEDICAL CENTER CRAIG RANCH, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RHIA, CHC, CHPC
Authorized Official - Phone:281-863-2100
Mailing Address - Street 1:2201 TIMBERLOCH PLACE
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380
Mailing Address - Country:US
Mailing Address - Phone:281-863-2100
Mailing Address - Fax:281-292-2773
Practice Address - Street 1:6045 ALMA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2188
Practice Address - Country:US
Practice Address - Phone:281-863-2100
Practice Address - Fax:281-292-2773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-03
Last Update Date:2015-11-06
Deactivation Date:2015-09-29
Deactivation Code:
Reactivation Date:2015-11-06
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital