Provider Demographics
NPI:1689861593
Name:TRIUMPH HOSPITAL OF N HOUSTON LP
Entity Type:Organization
Organization Name:TRIUMPH HOSPITAL OF N HOUSTON LP
Other - Org Name:TRIUMPH HOSPITAL NORTHWEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP QUALITY AND COMPLIANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:LANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-807-8686
Mailing Address - Street 1:7333 NORTH FWY STE 500
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-1322
Mailing Address - Country:US
Mailing Address - Phone:713-807-8686
Mailing Address - Fax:713-699-0788
Practice Address - Street 1:205 HOLLOW TREE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2801
Practice Address - Country:US
Practice Address - Phone:832-249-2700
Practice Address - Fax:281-583-0890
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW TRIUMPH HEALTHCARE OF TX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007134282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH4003OtherBLUE CROSS
452074Medicare Oscar/Certification