Christus Southeast Texas - Jasper Memorial
LBN: Christus Health Southeast Texas
Christus Southeast Texas - Jasper Memorial is an health care organization with primary practice located at 1275 Marvin Hancock Dr , Jasper TX 75951-4935. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Hospitals / Rural. Hospitals / Rural is the primary health care specialty.
Christus Health Southeast Texas can be contacted via phone (409) 384-5461, or through Trevino, Paul via phone (409) 899-7102.
Contact Information
Primary practice address
1275 Marvin Hancock Dr
Jasper TX 75951-4935
Phone: (409) 384-5461
Fax: (409) 384-1900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | ||
| Hospitals / Rural | 282NR1301X | 000038 | Texas |
Profile Details
| NPI number | 1598749707 |
|---|---|
| LBN Legal business name | Christus Health Southeast Texas |
| DBA Doing business as | Christus Southeast Texas - Jasper Memorial |
| Authorized official | Trevino, Paul |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Oct 19th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598749707 | NPPES |
| Texas | Other | 75270390475951 | CHAMPVA |
| Texas | Other | HH0633 | CHAMPVA |
| Texas | MEDICAID | 112706001 | CHAMPVA |
| Texas | Other | 450573 | CHAMPVA |
| Texas | Other | 8059 | CHAMPVA |
| Texas | Other | 0921543 | CHAMPVA |
| Texas | MEDICAID | 112706002 | CHAMPVA |
| Texas | MEDICAID | 112706003 | CHAMPVA |
| Texas | Other | 759510003 | CHAMPVA |
| Texas | Other | 0873414 | CHAMPVA |
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