Medical Behavioral Hospital Of Clear Lake, LLC
Psychiatric Hospital in Houston, TX. Organization (NPI-2).
NPI number1033744743
StatusActive
Last updated in NPPESAug 13, 2024
Details
- NPI
- 1033744743
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Behavioral Hospital Of Clear Lake, LLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2020
- Certification date
- Aug 13, 2024
- Last updated
- Aug 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - HOSPITAL
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 283Q00000X | Psychiatric Hospital | – | – | Yes |
Practice location
16850 Buccaneer LnHouston, TX 77058-2507
Phone 574-277-2630
Mailing address
112 W Jefferson Blvd Ste 600South Bend, IN 46601-1921
Phone 574-277-2530 · Fax 574-277-2635
Authorized official
Christy Keltner
Corp Bod
6153196552
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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