CHRISTUS HEALTH SOUTHEAST TEXAS


Address: 2830 Calder St, Administration, Beaumont, TX 77702-1809
Phone: 4098997171

CHRISTUS HEALTH SOUTHEAST TEXAS (NPI# 1679557888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679557888
Entity Type Organization
Organization Name CHRISTUS HEALTH SOUTHEAST TEXAS
Other Organization Name CHRISTUS SOUTHEAST TEXAS - ST. ELIZABETH
Practice Address 2830 Calder St
Administration
Beaumont
TX 77702-1809
Mailing Address 2830 Calder St
Beaumont
TX 77702-1809
Practice Telephone 4098997171
Practice Fax Number 4098998191
Mailing Telephone 4098997171
Mailing Fax Number 4098998191
Enumeration Date 2005-12-01
Last Update Date 2015-08-20
Authorized Official Name PAUL TREVINO (CEO)
Authorized Official Telephone 4098997102
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 282N00000X General Acute Care Hospital 000444 TX Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
TX AETNA 0071717 01
TX CHAMPVA 777020001 01
TX BLUE CROSS HH0542 01
TX 133240507 05
TX CIGNA 0910518 01
TX 138296205 05
TX 138296208 05
TX UNICARE 450034 01
TX 138296207 05
TX USFHP 777020001 01
TX UTMB CHIPS 8060 01
LA 1732320 05
TX 138296206 05

Other Provider/Organization Names

Other Name Type Code
CHRISTUS Southeast Texas - St. Elizabeth Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063485548 Christus Health Southeast Texas Clinic/Center 205 E Lavielle St, Kirbyville, TX 75956-2119 2006-02-07
1194797621 Christus Health Southeast Texas Clinic/Center 2427 W Recreational Road 255, Brookeland, TX 75931-6408 2006-02-07
1528030285 Christus Health Southeast Texas Clinic/Center 1276 S Peachtree St, Jasper, TX 75951-4916 2006-02-06
1124482013 Christus Health Southeast Texas Clinic/Center 494 Springhill St, Suite 200, Jasper, TX 75951-4922 2016-04-07
1942517172 Christus Health Southeast Texas Physician Assistant 2830 Calder St, Beaumont, TX 77702-1809 2010-09-09
1427370477 Christus Health Southeast Texas Internal Medicine 2830 Calder St, Beaumont, TX 77702-1809 2010-02-18
1790758738 Christus Health Southeast Texas Medicare Defined Swing Bed Unit 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 2006-02-09
1811960362 Christus Health Southeast Texas Rehabilitation Unit 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 2006-02-07
1598749707 Christus Health Southeast Texas General Acute Care Hospital 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 2005-12-01

Office Location

Street Address 2830 CALDER ST
ADMINISTRATION
City BEAUMONT
State TX
Zip Code 77702-1809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568089951 Karen Elizondo Radiology 2830 Calder St, Beaumont, TX 77702-1809 2020-07-01
1043839624 Ashley Lynn Billot Nurse Anesthetist, Certified Registered 2830 Calder St, Beaumont, TX 77702-1809 2020-04-13
1992324586 Alyssa Baker Nurse Practitioner 2830 Calder St, Beaumont, TX 77702-1809 2020-04-13
1861027047 Joyce Cialona Technician, Other 2830 Calder St, Beaumont, TX 77702-1809 2020-03-08
1033749585 John Paul Flanagan II Registered Nurse 2830 Calder St, Beaumont, TX 77702-1809 2020-01-23
1659917854 Hospitalist Medicine Physicians of Texas - Fort Worth, Pllc Internal Medicine 2830 Calder St, Beaumont, TX 77702-1809 2019-11-22
1083265052 Hari Krishna Reddy Pandi Registered Nurse 2830 Calder St, Beaumont, TX 77702-1809 2019-09-21
1639659212 Dawn Polk Nurse Practitioner 2830 Calder St, Beaumont, TX 77702-1809 2018-08-14
1518475557 Sound Physicians Emergency Medicine of Texas Pllc Emergency Medicine 2830 Calder St, Beaumont, TX 77702-1809 2018-01-11
1275054017 Denise Darlene Vickers Specialist/Technologist, Other 2830 Calder St, Beaumont, TX 77702-1809 2017-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346871134 Anne Parker Chen Psychologist 2431 Liberty St., Beaumont, TX 77702 2020-01-30
1841715299 Encounter Home Care, Inc. Home Health 990 I H 10 North, 225, Beaumont, TX 77702 2017-08-07
1962860023 Jennifer Abney Bell Nurse Practitioner 3030 North St., Suite 510, Beaumont, TX 77702 2016-02-04
1720407687 Jennifer Huff Nurse Practitioner 2980 Calder Ave, Beaumont, TX 77702 2014-04-08
1669894580 Julie Christine Makdsi Psychologist 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 2014-01-11
1437586682 Lori Wenner Registered Nurse 2410 Harrison Street, Beaumont, TX 77702 2013-10-02
1548503311 Robert J Grammatico Emergency Medicine 2830 Calder Ave., Beaumont, TX 77702 2013-03-30
1396084992 Courtney Marie Guidry Physician Assistant 755 N 11th St Ste P5200, Beaumont, TX 77702 2013-02-04
1043524788 Swarnalatha Devi Bathina Dentist 490 Ih-10, Suite 200, Beaumont, TX 77702 2010-08-05
1376798884 Rehana Haq Javed Pathology Christus Hospital 2830 Calder St., Beaumont, TX 77702 2008-11-25
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881932663 Victory Medical Center Beaumont, L.p. General Acute Care Hospital 6025 Metropolitan Drive, Victory Medical Center Beaumont, Beaumont, TX 77706 2013-01-29
1952554420 Russell Clark General Acute Care Hospital 1412 Liatris Way, Beaumont, CA 92223-8468 2008-10-28
1265971691 Baptist Hospital of Southeast Texas General Acute Care Hospital 3080 College St, Beaumont, TX 77701-4606 2017-02-17
1417399080 Reliant Physicians of Southeast Texas Pllc General Acute Care Hospital 3070 College Street, Suite 401, Beaumont, TX 77701 2013-07-24
1093744187 Baptist Hospitals of Southeast Texas General Acute Care Hospital 3080 College St, Beaumont, TX 77701-4606 2006-07-01
1962486803 Bbji, Lp General Acute Care Hospital 3650 Laurel St, Beaumont, TX 77707-2216 2005-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184233785 Hendrick Medical Center Brownwood General Acute Care Hospital 1501 Burnett Rd, Brownwood, TX 76801-8520 2020-07-29
1487271375 Methodist Hospitals of Dallas General Acute Care Hospital 1201 E Us Hwy 287, Midlothian, TX 76065 2020-06-26
1275177032 Heights Hospital LLC General Acute Care Hospital 1917 Ashland St Ste 600, Houston, TX 77008-3907 2019-11-04
1457994188 Vhs Harlingen Hospital Company, LLC General Acute Care Hospital 1021 W Interstate 2, Weslaco, TX 78596 2019-10-25
1750932117 Lumberton Hospital LLC General Acute Care Hospital 220 Blanco St, Lumberton, TX 77657-8620 2019-09-26
1619524568 Intermed Rcm, LLC General Acute Care Hospital 539 W Commerce St # 310, Dallas, TX 75208-1953 2019-08-23
1841844735 Emerus Bhs Sa Thousand Oaks, LLC General Acute Care Hospital 806 Cupples Rd, San Antonio, TX 78237-4410 2019-07-29
1316505043 Ethicus Hospital Dfw LLC General Acute Care Hospital 1401 E. Trinity Mills Road, Carroliton, TX 75006 2019-05-29
1669954194 Southcross Hospital LLC General Acute Care Hospital 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 2018-08-31
1356822167 Stat Emergency Center of Del Rio LLC General Acute Care Hospital 2600 Veterans Blvd, Del Rio, TX 78840-3108 2018-08-29
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Competitor

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City BEAUMONT
Zip Code 77702

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Dataset Information

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.

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