Provider Demographics
NPI:1750932117
Name:LUMBERTON HOSPITAL LLC
Entity type:Organization
Organization Name:LUMBERTON HOSPITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-219-3833
Mailing Address - Street 1:220 BLANCO ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-8620
Mailing Address - Country:US
Mailing Address - Phone:409-755-2273
Mailing Address - Fax:409-227-0521
Practice Address - Street 1:220 BLANCO ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-8620
Practice Address - Country:US
Practice Address - Phone:409-755-2273
Practice Address - Fax:409-227-0521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital