CHRISTUS HEALTH SOUTHEAST TEXAS (NPI# 1790758738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790758738 |
| Entity Type | Organization |
| Organization Name | CHRISTUS HEALTH SOUTHEAST TEXAS |
| Other Organization Name | CHRISTUS JASPER MEMORIAL HOSPITAL |
| Practice Address |
1275 Marvin Hancock Dr Jasper TX 75951-4935 |
| Practice Telephone | 4093841872 |
| Practice Fax Number | 4093830622 |
| Mailing Telephone | 4093841872 |
| Mailing Fax Number | 4093830622 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2011-07-06 |
| Authorized Official Name | MS. DEBORAH R WIEGAND (ADMINISTRATOR) |
| Authorized Official Telephone | 4093841872 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 000038 | TX | Hospital Units |
| Other Name | Type Code |
|---|---|
| CHRISTUS Jasper Memorial Hospital | 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 |
| 1528030285 | Christus Health Southeast Texas | Clinic/Center | 1276 S Peachtree St, Jasper, TX 75951-4916 | 2006-02-06 |
| 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 |
| 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 |
1275 MARVIN HANCOCK DR |
| City | JASPER |
| State | TX |
| Zip Code | 75951-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203658 | John Michael Pauzauskie | Nurse Anesthetist, Certified Registered | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2005-05-27 |
| 1356713960 | Solitude Emergency Physicians, Pllc | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2015-10-22 |
| 1942671961 | Country Road Emergency Physicians, Pllc | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2015-10-16 |
| 1700200284 | Mh Drive Emergency Physicians Pllc | Emergency Medicine | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2014-02-05 |
| 1457774648 | Texas Em-i Medical Services Pa | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2014-01-24 |
| 1538392600 | Belinda Daniel | Nurse Practitioner | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2009-08-24 |
| 1346442746 | Jasper Emergency Medicine Associates Pa | Physician Assistant | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2007-06-05 |
| 1255481883 | Jimmy W. Spruill | Emergency Medicine | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2007-01-12 |
| 1104997998 | Cleon S Nunnally | General Acute Care Hospital | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-11-13 |
| 1104855808 | Clinical Partners Pa - Jasper | Anesthesiology | 1275 Marvin Hancock Dr, Jasper, TX 75951-4935 | 2006-07-03 |
| Find all providers in the same location | ||||
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750453155 | H.c. Healthcare, Inc. | Medicare Defined Swing Bed Unit | 506 4th St Nw, Jasper, FL 32052-6603 | 2006-11-14 |
| 1053371138 | Piedmont Mountainside Hospital, Inc | Medicare Defined Swing Bed Unit | 1266 Highway 515 S, Jasper, GA 30143-4872 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508214222 | Trinity Diagnostic Clinic, P.a | Medicare Defined Swing Bed Unit | 6324 Southern Hills Dr, Fort Worth, TX 76132-4485 | 2016-06-03 |
| 1710224647 | Caroline Chioma Ukachukwu | Medicare Defined Swing Bed Unit | 6565 Fannin St. Mgj. Suit 11, The Methodist Hospital, Mary Gibbs, Houston, TX 77030 | 2013-01-11 |
| 1023353752 | Eastland Memorial Hospital District | Medicare Defined Swing Bed Unit | 304 South Daugherty Street, Eastland, TX 76448 | 2012-12-06 |
| 1447574819 | Frio Hospital Association | Medicare Defined Swing Bed Unit | 200 S Ih 35, Pearsall, TX 78061-6601 | 2010-03-15 |
| 1952567588 | Preferred Hospital Leasing Junction, Inc | Medicare Defined Swing Bed Unit | 349 Reid Rd, Junction, TX 76849-3049 | 2008-08-04 |
| 1699939421 | Preferred Hospital Leasing Hemphill, Inc. | Medicare Defined Swing Bed Unit | 2301 State Highway 83w, Hemphill, TX 75948-0750 | 2008-07-10 |
| 1801087630 | Mitchell County Hospital District | Medicare Defined Swing Bed Unit | 997 West I-20, Colorado City, TX 79512 | 2007-08-07 |
| 1023138781 | Throckmorton County Memorial Hosp | Medicare Defined Swing Bed Unit | 802 N. Minter Ave., Throckmorton, TX 76483-5357 | 2007-03-29 |
| 1093839839 | Muenster Hospital District | Medicare Defined Swing Bed Unit | 605 N Maple, Muesnter, TX 76252-2424 | 2007-03-19 |
| 1841371739 | Jackson County Hospital District | Medicare Defined Swing Bed Unit | 1013 S Wells Street, Edna, TX 77957-4098 | 2006-10-18 |
| 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.