Provider Demographics
NPI:1689869216
Name:WESTBURY COMMUNITY HOSPITAL, LLC
Entity Type:Organization
Organization Name:WESTBURY COMMUNITY HOSPITAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOUSEWORTH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:832-248-4636
Mailing Address - Street 1:5556 GASMER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4502
Mailing Address - Country:US
Mailing Address - Phone:713-422-2650
Mailing Address - Fax:
Practice Address - Street 1:5556 GASMER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4502
Practice Address - Country:US
Practice Address - Phone:713-422-2650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100061282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2188575-02Medicaid
TX2188575-01Medicaid
TX2188575-02Medicaid
TX67S072Medicare Oscar/Certification