College Street Health Care Center

LBN: Liberty County Hospital District No 1
College Street Health Care Center is an health care organization with primary practice located at 4150 College St , Beaumont TX 77707-3902. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Liberty County Hospital District No 1 can be contacted via phone (409) 842-2244, or through Davis, Charles A. via phone (832) 843-5038.

Contact Information

Primary practice address
4150 College St Beaumont TX 77707-3902
Phone: (409) 842-2244
Fax: (409) 842-3399
Website:
Map and Directions
Authorized official contact:
Name: Davis, Charles A.
Phone: (832) 843-5038

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 141498 Texas

Profile Details

NPI number 1326141557
LBN Legal business name Liberty County Hospital District No 1
DBA Doing business as College Street Health Care Center
Authorized official Davis, Charles A.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Mar 20th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326141557 NPPES
Texas MEDICAID 001026457

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