THE MEDICAL CENTER OF SOUTHEAST TEXAS LP (NPI# 1861467573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861467573 |
| Entity Type | Organization |
| Organization Name | THE MEDICAL CENTER OF SOUTHEAST TEXAS LP |
| 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 | 4098535917 |
| Mailing Telephone | 4097247389 |
| Mailing Fax Number | 4098535910 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | RICHARD D GONZALEZ (HOSPITAL CEO) |
| Authorized Official Telephone | 4097247389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
000464 | TX | Ambulatory Health Care Facilities |
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
000464 | TX | Ambulatory Health Care Facilities |
| Y | 282N00000X | General Acute Care Hospital | 000464 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | HH0567 | 01 |
| TX | 163925402 | 05 | |
| TX | 163925401 | 05 | |
| LA | 1731862 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114006749 | The Medical Center of Southeast Texas Lp | Rehabilitation Unit | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-11-03 |
| 1316026941 | The Medical Center of Southeast Texas Lp | Psychiatric 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 |
|---|---|---|---|---|
| 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 |
| 1336659044 | Darla Denise Booth | Specialist/Technologist, Other | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2017-10-07 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780127738 | Angela Marie Rainey | General Acute Care Hospital | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2016-11-23 |
| 1598108854 | Bhatt, Mayoor | General Acute Care Hospital | 3600 Gates Blvd, Port Arthur, TX 77642-3858 | 2013-04-16 |
| 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 |
| 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.