Provider Demographics
NPI:1174611768
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 1:524 S RYAN ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-5725
Mailing Address - Country:US
Mailing Address - Phone:337-491-7752
Mailing Address - Fax:337-430-5252
Practice Address - Street 1:524 S RYAN ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-5725
Practice Address - Country:US
Practice Address - Phone:337-491-7752
Practice Address - Fax:337-430-5252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA404282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3440913OtherAETNA PVN
LA61495OtherLA BCBS
LA1704407Medicaid
LA7619310OtherAETNA PIN
LA382847OtherGEHA
192024Medicare Oscar/Certification