Organization · Type 2 NPI

ST Luke's Lakeside Hospital, LLC

Special Hospital · The Woodlands, TX

NPI number 1184868879 Active

Practice location

17400 St. Luke's Way
The Woodlands, TX 77384

Fax (936) 266-4051

Specialties and licenses

Taxonomy	Code	License
Special Hospital Primary	284300000X	None listed

Special Hospital: A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

NPI record

NPI: 1184868879
Entity type: Organization (Type 2)
Issued: Apr 24, 2009
Last updated: Jan 6, 2015
Status: Active
Subpart: Yes of ST Luke's Health System,

Other names

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ST Luke's Lakeside Hospital · doing business as

Authorized official

Mrs. Mary Sue Lipham
Chief Financial Officer
(936) 266-2030

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184868879

ST Luke's Lakeside Hospital, LLC's National Provider Identifier is 1184868879, issued on Apr 24, 2009. The primary taxonomy on file is Special Hospital (284300000X), and the practice location is in The Woodlands, TX. The record was last updated on Jan 6, 2015.