Provider Demographics
NPI:1346347077
Name:DUBUIS HEALTH SYSTEM, INC.
Entity Type:Organization
Organization Name:DUBUIS HEALTH SYSTEM, INC.
Other - Org Name:DUBUIS HOSPITAL OF ALEXANDRIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-277-2334
Mailing Address - Street 1:3330 MASONIC DR
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3841
Mailing Address - Country:US
Mailing Address - Phone:318-448-6505
Mailing Address - Fax:318-483-4033
Practice Address - Street 1:3330 MASONIC DR
Practice Address - Street 2:4TH FLOOR
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3841
Practice Address - Country:US
Practice Address - Phone:318-448-6505
Practice Address - Fax:318-483-4033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA344282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4636192OtherAETNA PIN
LA1704415Medicaid
LA2532749OtherAETNA PVN
LA382847OtherGEHA
192012Medicare Oscar/Certification