Provider Demographics
NPI:1194813758
Name:DUBUIS HEALTH SYSTEM, INC.
Entity type:Organization
Organization Name:DUBUIS HEALTH SYSTEM, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-277-2334
Mailing Address - Street 1:2830 CALDER ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-1809
Mailing Address - Country:US
Mailing Address - Phone:409-899-5156
Mailing Address - Fax:409-899-8158
Practice Address - Street 1:2830 CALDER ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-1809
Practice Address - Country:US
Practice Address - Phone:409-899-5156
Practice Address - Fax:409-899-8158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000708282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH0987OtherBCBS - PORT ARTHUR
TX7349282OtherAETNA PIN - PORT ARTHUR
TX3233998OtherAETNA PVN - PORT ARTHUR
TX0210189-01Medicaid
LA2385989OtherAETNA PVN- BEAUMONT
TX5613586OtherAETNA PIN - BEAUMONT
TXHH0933OtherBCBS - BEAUMONT
452042Medicare Oscar/Certification