=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265520845
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DUBUIS HEALTH SYSTEM, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/10/2006
-----------------------------------------------------
Last Update Date | 01/25/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1919 LA BRANCH ST 7TH FLOOR, GWS
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77002-8321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-756-8668
-----------------------------------------------------
Fax | 713-756-8667
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1919 LA BRANCH ST 7TH FLOOR, GWS
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77002-8321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-756-8668
-----------------------------------------------------
Fax | 713-756-8667
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | STEPHEN A MILLS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-277-2334
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 282E00000X
-----------------------------------------------------
Taxonomy Name | Long Term Care Hospital
-----------------------------------------------------
License Number | 000807
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------