CHRISTUS HEALTH SOUTHEAST TEXAS (NPI# 1528030285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528030285 |
| Entity Type | Organization |
| Organization Name | CHRISTUS HEALTH SOUTHEAST TEXAS |
| Other Organization Name | CHRISTUS SOUTHEAST TEXAS - FAMILY PRACTICE CENTER JASPER |
| Practice Address |
1276 S Peachtree St Jasper TX 75951-4916 |
| Mailing Address |
1275 Marvin Hancock Dr Jasper TX 75951-4935 |
| Practice Telephone | 4093845701 |
| Practice Fax Number | 4093849820 |
| Mailing Telephone | 4093841872 |
| Mailing Fax Number | 4093830622 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2015-07-23 |
| Authorized Official Name | MS. DEBORAH R WIEGAND (ADMINISTRATOR) |
| Authorized Official Telephone | 4093841872 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTUS HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 137305204 | 05 |
| Other Name | Type Code |
|---|---|
| CHRISTUS Southeast Texas - Family Practice Center Jasper | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063485548 | Christus Health Southeast Texas | Clinic/Center | 205 E Lavielle St, Kirbyville, TX 75956-2119 | 2006-02-07 |
| 1194797621 | Christus Health Southeast Texas | Clinic/Center | 2427 W Recreational Road 255, Brookeland, TX 75931-6408 | 2006-02-07 |
| 1679557888 | Christus Health Southeast Texas | Nurse Anesthetist, Certified Registered | 2830 Calder St, Administration, Beaumont, TX 77702-1809 | 2005-12-01 |
| 1124482013 | Christus Health Southeast Texas | Clinic/Center | 494 Springhill St, Suite 200, Jasper, TX 75951-4922 | 2016-04-07 |
| 1942517172 | Christus Health Southeast Texas | Physician Assistant | 2830 Calder St, Beaumont, TX 77702-1809 | 2010-09-09 |
| 1427370477 | Christus Health Southeast Texas | Internal Medicine | 2830 Calder St, Beaumont, TX 77702-1809 | 2010-02-18 |
| 1790758738 | Christus Health Southeast Texas | Medicare Defined Swing Bed Unit | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-02-09 |
| 1811960362 | Christus Health Southeast Texas | Rehabilitation Unit | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-02-07 |
| 1598749707 | Christus Health Southeast Texas | General Acute Care Hospital | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2005-12-01 |
| Street Address |
1276 S PEACHTREE ST |
| City | JASPER |
| State | TX |
| Zip Code | 75951-4916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053657114 | Jill Christine Pate | Nurse Practitioner | 1276 S Peachtree St, Jasper, TX 75951-4916 | 2012-12-18 |
| 1003073800 | Kamesha Jennel Barnes | Nurse Practitioner | 1276 S Peachtree St, Jasper, TX 75951 | 2008-05-20 |
| 1881618742 | Stepanka Baggett | Family Medicine | 1276 S Peachtree St, Jasper, TX 75951-4916 | 2006-07-26 |
| 1154349033 | Christus Jasper Memorial Hospital Family Practice Center - Jasper | Family Medicine | 1276 S Peachtree St, Jasper, TX 75951-4916 | 2006-07-18 |
| 1245282938 | Richard D Pham | Family Medicine | 1276 S Peachtree St, Jasper, TX 75951-4916 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
| 1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
| 1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
| 1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
| 1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
| Find all providers in zip 75951 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235181322 | Trilogy Integrated Health Care, Inc. of Georgia | Clinic/Center | 14 Sammy Mcghee Boulevard, Suite 204, Jasper, GA 30143 | 2006-05-17 |
| 1588654982 | North Arkansas Regional Medical Center | Clinic/Center | 502 W Court St, Jasper, AR 72641 | 2005-10-26 |
| 1124482013 | Christus Health Southeast Texas | Clinic/Center | 494 Springhill St, Suite 200, Jasper, TX 75951-4922 | 2016-04-07 |
| 1922409010 | Live Oak Hma LLC | Clinic/Center | 413 5th Ave Nw Ste A, Jasper, FL 32052-7801 | 2014-09-09 |
| 1942593447 | Jfhw Rural Clinic Pa | Clinic/Center | 492 Springhill St, Suite B, Jasper, TX 75951-4922 | 2011-05-17 |
| 1386876902 | Enrique Technologies Inc | Clinic/Center | 506 4th St Nw, Jasper, FL 32052-6603 | 2009-08-14 |
| 1205912326 | Hc Healthcare Inc | Clinic/Center | 506 Nw 4th Street, Jasper, FL 32052-6603 | 2006-10-31 |
| 1912091778 | Complete Healthcare Services Rhc Pllc | Clinic/Center | 315 W Houston St, Jasper, TX 75951 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.