Dubuis Health System, Inc.

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

404 Issued in LA

Legal business name

DUBUIS HEALTH SYSTEM, INC.

Doing business as

Dubuis Hospital of Lake Charles

Practice address

524 S Ryan St
5TH Floor
Lake Charles, LA 70601-5725

Phone

(337) 491-7752

Fax

(337) 430-5252

NPI assigned

Oct 10, 2006

Last updated

Jun 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen A. Mills

Title

President/Ceo

Phone

(713) 277-2334

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dubuis Hospital of Lake Charles Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174611768. Details of each certification follow.

• CCN 190238 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 190238

Legal name

DUBUIS H CONTINUING CARE LAKE CHARLES

Certification status

Terminated Other: provider status change, Mar 1, 1999

Provider type (POS)

Hospital – Short-term

Participating since

Dec 9, 1997

Last certification

Dec 9, 1997

Beds

20

Ownership / control type

Church

Facility address

524 South Ryan Street
Lake Charles, LA 70601

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1174611768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S RYAN ST",
            "address_2": "5TH FLOOR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015725",
            "telephone_number": "337-491-7752",
            "fax_number": "337-430-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S RYAN ST",
            "address_2": "5TH FLOOR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015725",
            "telephone_number": "337-491-7752",
            "fax_number": "337-430-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUIS HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "713-277-2334"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "LA",
            "license": "404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PVN",
            "identifier": "3440913",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA BCBS",
            "identifier": "61495",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704407",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7619310",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEHA",
            "identifier": "382847",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dubuis Hospital of Lake Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skylar Droddy
• Catherine Dronet
• Nelson Ray Dronet Jr., B.C.B.A., L.B.A
• Shandora Druilhet
• Robert Michael Duarte, M.D.
• Danielle Ducote
• Melissa Rene Ducotey, APRN
• James H Dufrene Jr., CRNA
• Michael James Dufrene, CRNA
• Tiffany Mary Dufrene, M.D.

• Long Term Care Hospital in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Long Term Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.