Provider Demographics
NPI:1508857467
Name:HOUSTON COMMUNITY HOSPITAL, INC.
Entity Type:Organization
Organization Name:HOUSTON COMMUNITY HOSPITAL, INC.
Other - Org Name:RENAISSANCE HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMESNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-886-1900
Mailing Address - Street 1:14440 JOHN F KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77032-5300
Mailing Address - Country:US
Mailing Address - Phone:832-886-1900
Mailing Address - Fax:281-227-1142
Practice Address - Street 1:2807 LITTLE YORK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-3405
Practice Address - Country:US
Practice Address - Phone:713-697-7777
Practice Address - Fax:713-697-5437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000261282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX450795Medicare ID - Type Unspecified