Provider Demographics
NPI:1659575272
Name:TRIUMPH HOSPITAL OF SW HOUSTON LP
Entity Type:Organization
Organization Name:TRIUMPH HOSPITAL OF SW HOUSTON LP
Other - Org Name:TRIUMPH HOSPITAL TOWN & COUNTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AVP, PATIENT FINANCIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENCIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-884-2244
Mailing Address - Street 1:1120 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2735
Mailing Address - Country:US
Mailing Address - Phone:713-932-2700
Mailing Address - Fax:
Practice Address - Street 1:1120 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-2735
Practice Address - Country:US
Practice Address - Phone:713-932-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
45-2080Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER