THE MEDICAL CENTER OF SOUTHEAST TEXAS LP (NPI# 1316026941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316026941 |
| Entity Type | Organization |
| Organization Name | THE MEDICAL CENTER OF SOUTHEAST TEXAS LP |
| Other Organization Name | THE MEDICAL CENTER OF SOUTHEAST TEXAS |
| Practice Address |
2555 Jimmy Johnson Blvd Port Arthur TX 77640-2007 |
| Mailing Address |
2555 Jimmy Johnson Blvd Attn: Billing Port Arthur TX 77640-2007 |
| Practice Telephone | 4097247389 |
| Practice Fax Number | 4098535910 |
| Mailing Telephone | 4097247389 |
| Mailing Fax Number | 4098535910 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | RICHARD D GONZALEZ (HOSPITAL CEO) |
| Authorized Official Telephone | 4097247389 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE MEDICAL CENTER OF SOUTHEAST TEXAS LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| The Medical Center of Southeast Texas | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861467573 | The Medical Center of Southeast Texas Lp | Clinic/Center | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-02-17 |
| 1114006749 | The Medical Center of Southeast Texas Lp | Rehabilitation Unit | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-11-03 |
| Street Address |
2555 JIMMY JOHNSON BLVD |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861467573 | The Medical Center of Southeast Texas Lp | Clinic/Center | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-02-17 |
| 1265046726 | Sharonda Renee Mouton | Social Worker | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2020-09-02 |
| 1164031258 | Julie Vuong Tran | Registered Nurse | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2020-07-24 |
| 1639798374 | Diem Vo | Student in an Organized Health Care Education/Training Program | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2020-04-13 |
| 1447731955 | Donna Larkins Mitchell | Nurse Practitioner | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-08-23 |
| 1598252413 | Jennifer Ann Wilson | Specialist/Technologist, Other | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-04-16 |
| 1598264616 | Connor Patrick O'shaughnessy | Dietitian, Registered | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-02-04 |
| 1093213555 | Stephanie Rae Dodson | Dietitian, Registered | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 | 2018-01-30 |
| 1447767819 | Shannon Huebel Keith | Nurse Practitioner | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-01-06 |
| 1598271405 | Millennium Neonatolgy Pllc | Pediatrics | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2017-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184159725 | Veterans Administration | Psychiatric Unit | 4455 Horizon Hill, San Antonio, TX 78229 | 2017-04-20 |
| 1356730345 | Magellan | Psychiatric Unit | 1200 Barton Hills Dr Apt 260, Austin, TX 78704-1913 | 2015-01-14 |
| 1528314499 | Michael E. Debakey Va Medical Center | Psychiatric Unit | 3109 W Oaks Blvd, Pearland, TX 77584-8395 | 2012-07-30 |
| 1174882369 | John Adams, Md Psychiatry Pllc | Psychiatric Unit | 17720 Corporate Woods Drive, San Antonio, TX 78259 | 2012-05-09 |
| 1396055547 | Fdpp Inc | Psychiatric Unit | 9275 Richmond Ave, Suite 103, Houston, TX 77063-3951 | 2010-10-20 |
| 1043449143 | Bay Area Healthcare Group, Ltd. | Psychiatric Unit | 13725 Northwest Boulevard, Corpus Christi, TX 78410-5127 | 2009-07-09 |
| 1194953737 | Tis-therapeutic Intervention Services | Psychiatric Unit | 6715 Seinfeld Ct, Houston, TX 77069-1725 | 2009-06-22 |
| 1093955296 | Aspire Hospital, LLC | Psychiatric Unit | 2006 S Loop 336 W, # 500, Conroe, TX 77304-3315 | 2009-02-27 |
| 1619149234 | North Quaker Hospital, Lp | Psychiatric Unit | 4302 Princeton Street, Second Floor, Lubbock, TX 79415-1304 | 2008-03-25 |
| 1568657583 | Day Surgery At Renaissance, LLC | Psychiatric Unit | 5510 Raphael Dr, Edinburg, TX 78539-1407 | 2007-09-12 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
Please comment or provide details below to improve the information on THE MEDICAL CENTER OF SOUTHEAST TEXAS LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.