Provider Demographics
NPI:1932297520
Name:DUBUIS HEALTH SYSTEM INC
Entity Type:Organization
Organization Name:DUBUIS HEALTH SYSTEM INC
Other - Org Name:DUBUIS HOSPITAL OF PARIS
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 1:865 DESHONG DR
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-9313
Mailing Address - Country:US
Mailing Address - Phone:903-782-2961
Mailing Address - Fax:903-782-2999
Practice Address - Street 1:865 DESHONG DR
Practice Address - Street 2:5TH FLOOR
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-9313
Practice Address - Country:US
Practice Address - Phone:903-782-2961
Practice Address - Fax:903-782-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007875282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH1031OtherBLUE CROSS BLUE SHIELD
TX7365549OtherAETNA PIN
TX195884501Medicaid
TX3440591OtherAETNA PVN
TX3440591OtherAETNA PVN