NPIMap

Organization Active NPI

Baptist Hospitals of Southeast Texas

Doing business as Baptist Beaumont Hospital

  • Psychiatric Hospital Unit
  • Beaumont, TX
National Provider Identifier
1104920412
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
000389 Issued in TX
Legal business name
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
Doing business as
Baptist Beaumont Hospital
Practice address
3080 College St
Beaumont, TX 77701-4606
Phone
(409) 212-6149
Fax
(409) 212-6063
NPI assigned
Sep 8, 2006
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Justin Doss
Title
Ceo
Phone
(409) 212-5012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 000389 TX Primary

Addresses

Primary practice location

3080 College St
Beaumont, TX 77701-4606

Mailing address

P O Box 974599
Dallas, TX 75397-4599
Phone (409) 212-6149

Other names 1

  • BAPTIST BEAUMONT HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060918000389 TX Part A Provider - Hospital 9335123033 1 other NPI on this enrollment
Practice locations: Beaumont, TX; Orange, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104920412. Details of each certification follow.

Hospital certification: CCN 45S346

Legal name
BAPTIST HOSPITALS OF SOUTHEAST TEXAS
Doing business as
BAPTIST BEAUMONT HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Nov 24, 1945 in TX
Enrollment address
3250 Fannin St
Beaumont, TX 77701-3903
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1103916Baptist Beaumont Hospital Behavioral3250 Fannin St, Beaumont, TX 77701Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Baptist Beaumont Phys5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 29

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hannah M Schiesler Individual W-2 Managing EmployeeVP of Human Resources Jan 8, 2022
William Paul Toon Individual Corporate DirectorBoard Member Jan 1, 2019
Samual Dyson Individual Corporate DirectorBoard Member Jan 1, 2010
Stephanie L Harris Individual W-2 Managing EmployeeVP of Marketing & Communicati Aug 9, 2021
Community Hospital Consulting, Inc Organization, Plano, TX Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2000 100%
Gary Coker Individual Corporate DirectorBoard Member Jan 1, 2007
Kyle Bess Individual Corporate DirectorBoard Member Jan 1, 2019
John Adolph Individual Corporate DirectorBoard Member Jan 1, 2007
Anthony Brown Individual Corporate DirectorBoard Member Jan 1, 2007
D'Lana R Barbay Individual Corporate DirectorBoard Member Jan 1, 2012
Garrett Craver Individual W-2 Managing EmployeeAdmin of Behavioral Health&Ge Jan 13, 2022
Justin Doss Individual Corporate DirectorCeo Apr 26, 2021
Ann Scoggin Individual Corporate DirectorBoard Member Jan 1, 2006
Walter Snider Individual Corporate DirectorBoard Member Jan 1, 2010
Sakuntalai Srinanthakumar Individual Corporate DirectorBoard Member Jan 1, 2004
Bryan Chandler Individual W-2 Managing EmployeeVP Business Development Oct 1, 2000
Snehal J Doshi Individual W-2 Managing EmployeeChief of Staff Jan 1, 2024
John Coates Individual Corporate DirectorBoard Member Jan 1, 2010
Gary Rothenberger Individual Corporate DirectorBoard Member Jan 1, 2007
Oscar Jovan Currie Individual Corporate DirectorBoard Member Jan 1, 2019
Christopher D Leavins Individual Corporate DirectorBoard Member Jan 1, 2019
Greg Dykeman Individual Corporate DirectorBoard Member Jan 1, 2015
Glen E Christensen Individual Corporate OfficerCfo Aug 24, 2025
W-2 Managing EmployeeCfo Aug 24, 2025
Terry Whiddon Individual Corporate DirectorBoard Member Jan 1, 2007
Jimmie Carpenter Individual Corporate DirectorBoard Member Jan 1, 2006
Cheryl M Cook Individual Corporate DirectorBoard Member Jan 1, 2014
Wilson Weber Individual Corporate DirectorBoard Member Mar 1, 2010
Katherine M Degenstein-Gartman Individual W-2 Managing EmployeeCno Mar 31, 2021
Dave Carpenter Individual Corporate DirectorBoard Member Jan 1, 2010

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1104920412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 974599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753974599",
            "telephone_number": "409-212-6149",
            "fax_number": "409-212-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014606",
            "telephone_number": "409-212-6149",
            "fax_number": "409-212-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HOSPITALS OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-212-5012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TX",
            "license": "000389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAPTIST BEAUMONT HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.