Provider Demographics
NPI:1265520845
Name:DUBUIS HEALTH SYSTEM, INC.
Entity type:Organization
Organization Name:DUBUIS HEALTH SYSTEM, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:1919 LA BRANCH ST
Mailing Address - Street 2:7TH FLOOR, GWS
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8321
Mailing Address - Country:US
Mailing Address - Phone:713-756-8668
Mailing Address - Fax:713-756-8667
Practice Address - Street 1:1919 LA BRANCH ST
Practice Address - Street 2:7TH FLOOR, GWS
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8321
Practice Address - Country:US
Practice Address - Phone:713-756-8668
Practice Address - Fax:713-756-8667
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
TX000807282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5697653OtherAETNA PIN
TXHH0934OtherBLUE CROSS BLUE SHIELD
TX195293901Medicaid
TX2385979OtherAETNA PVN
452055Medicare Oscar/Certification