Provider Demographics
NPI:1730126822
Name:KPH-CONSOLIDATION, INC.
Entity Type:Organization
Organization Name:KPH-CONSOLIDATION, INC.
Other - Org Name:HCA HOUSTON HEALTHCARE KINGWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:VIRGIL
Authorized Official - Middle Name:
Authorized Official - Last Name:WINSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-348-8013
Mailing Address - Street 1:22999 HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4438
Mailing Address - Country:US
Mailing Address - Phone:281-348-8000
Mailing Address - Fax:281-348-8010
Practice Address - Street 1:22999 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-348-8000
Practice Address - Fax:281-348-8010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KPH-CONSOLIDATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-31
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135231204Medicaid