Provider Demographics
NPI:1508131475
Name:EVERETT COMMUNITY HEALTHCARE LLC
Entity Type:Organization
Organization Name:EVERETT COMMUNITY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AISHE
Authorized Official - Middle Name:T
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-981-8900
Mailing Address - Street 1:5201 MEMORIAL DR
Mailing Address - Street 2:SUITE 1109
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8237
Mailing Address - Country:US
Mailing Address - Phone:713-981-8900
Mailing Address - Fax:713-981-8901
Practice Address - Street 1:5201 MEMORIAL DR
Practice Address - Street 2:SUITE 1109
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-8237
Practice Address - Country:US
Practice Address - Phone:713-981-8900
Practice Address - Fax:713-981-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy