NPIMap

Organization Active NPI

Spindletop MHMR Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Beaumont, TX
National Provider Identifier
1447575501
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
142-142A Issued in TX
Legal business name
SPINDLETOP MHMR SERVICES
Practice address
2750 S 8TH St
Building C
Beaumont, TX 77701-7719
Phone
(409) 839-1000
Fax
(409) 839-1066
NPI assigned
Apr 1, 2010
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Annie J Smith
Title
Reimbursement Manager
Phone
(409) 839-1009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 142-142A TX Primary

Addresses

Primary practice location

2750 S 8TH St
Building C
Beaumont, TX 77701-7719

Mailing address

PO Box 3846
Beaumont, TX 77704-3846
Phone (409) 839-1000

Other names 1

  • SPINDLETOP MHMR SERVICES/ATAR Other name

National Provider Directory

National Provider Directory
Tax ID family
Spindletop MHMR Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2750 S 8th St
Bldg C
Beaumont, TX 77701
Phone (409) 748-9903

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1447575501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3846",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777043846",
            "telephone_number": "409-839-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S 8TH ST",
            "address_2": "BUILDING C",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777017719",
            "telephone_number": "409-839-1000",
            "fax_number": "409-839-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINDLETOP MHMR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "409-839-1009"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "142-142A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPINDLETOP MHMR SERVICES/ATAR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SPINDLETOP MHMR SERVICES/ATAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.