Provider Demographics
NPI:1780615880
Name:TH HEALTHCARE ,LTD.
Entity type:Organization
Organization Name:TH HEALTHCARE ,LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OF GOVT PROGRAMS, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-436-2267
Mailing Address - Street 1:PO BOX 849988
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-9988
Mailing Address - Country:US
Mailing Address - Phone:214-387-6444
Mailing Address - Fax:713-524-6159
Practice Address - Street 1:1313 HERMANN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7005
Practice Address - Country:US
Practice Address - Phone:713-527-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000390282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
HH0714OtherBCBS OF TEXAS
12022OtherCOVENTRY HEALTH CARE LOUI
LA1738131Medicaid
450659B000000OtherSECTION 1011
000409OtherHUMANA
TX121811702Medicaid
121811703OtherTEXAS HEALTH NETWORK
686445860OtherAETNA US HEALTHCARE (NATI
TX121811702Medicaid