1265520845 NPI number — DUBUIS HEALTH SYSTEM, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265520845 NPI number — DUBUIS HEALTH SYSTEM, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DUBUIS HEALTH SYSTEM, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DUBUIS HOSPITAL OF HOUSTON
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265520845
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1919 LA BRANCH ST
Provider Second Line Business Mailing Address:
7TH FLOOR, GWS
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77002-8321
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-756-8668
Provider Business Mailing Address Fax Number:
713-756-8667

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1919 LA BRANCH ST
Provider Second Line Business Practice Location Address:
7TH FLOOR, GWS
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77002-8321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-756-8668
Provider Business Practice Location Address Fax Number:
713-756-8667
Provider Enumeration Date:
10/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MILLS
Authorized Official First Name:
STEPHEN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
713-277-2334

Provider Taxonomy Codes

  • Taxonomy code: 282E00000X , with the licence number:  000807 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5697653 . This is a "AETNA PIN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH0934 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 195293901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2385979 . This is a "AETNA PVN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com