Provider Demographics
NPI:1124260567
Name:REGIONS MEDICAL CENTER, LLC JOSHUA E. OHAKA MBR
Entity type:Organization
Organization Name:REGIONS MEDICAL CENTER, LLC JOSHUA E. OHAKA MBR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-903-6855
Mailing Address - Street 1:2200 FM 1092
Mailing Address - Street 2:SUITE A
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-1106
Mailing Address - Country:US
Mailing Address - Phone:281-903-6855
Mailing Address - Fax:281-383-9556
Practice Address - Street 1:2200 FM 1092
Practice Address - Street 2:SUITE A
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1106
Practice Address - Country:US
Practice Address - Phone:281-903-6855
Practice Address - Fax:281-383-9556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty