NPIMap

Organization Active NPI

Christus Health Southeast Texas

Doing business as CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
National Provider Identifier
1679557888
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000444 Issued in TX
Legal business name
CHRISTUS HEALTH SOUTHEAST TEXAS
Doing business as
CHRISTUS Southeast Texas - St. Elizabeth
Practice address
2830 Calder St
Administration
Beaumont, TX 77702-1809
Phone
(409) 899-7171
Fax
(409) 899-8191
NPI assigned
Dec 1, 2005
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Paul Trevino
Title
Ceo
Phone
(409) 899-7102

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X 000444 TX Primary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

2830 Calder St
Administration
Beaumont, TX 77702-1809

Mailing address

PO Box 848060
Dallas, TX 75284-8060
Phone (800) 756-7999

Other identifiers 13

IdentifierTypeStateIssuer
0071717OtherTXAETNA
0910518OtherTXCIGNA
133240507MedicaidTX
450034OtherTXUNICARE
777020001OtherTXCHAMPVA
138296205MedicaidTX
138296207MedicaidTX
138296208MedicaidTX
1732320MedicaidLA
HH0542OtherTXBLUE CROSS
138296206MedicaidTX
8060OtherTXUTMB CHIPS
777020001OtherTXUSFHP

Other names 1

  • CHRISTUS Southeast Texas - St. Elizabeth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030918000010 TX Part A Provider - Hospital 3476460049 Practice locations: Beaumont, TX; Port Arthur, TX; Orange, TX
O20040609000399 TX Part B Supplier - Clinic/Group Practice 3476460049 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kirbyville, TX; Port Arthur, TX; Jasper, TX; Beaumont, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679557888. Details of each certification follow.

Hospital certification: CCN 450034

Legal name
CHRISTUS HEALTH SOUTHEAST TEXAS
Doing business as
CHRISTUS SOUTHEAST TEXAS- ST. ELIZABETH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 22, 2026
Beds
487 (392 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 4, 1999 in TX
Enrollment address
2830 Calder St
Beaumont, TX 77702-1809
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Christus Southeast Texas- St ElizabethCCN 450034 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
45D0698958Christus Southeast Texas St Elizabeth2830 Calder Avenue, Beaumont, TX 77702AccreditationAug 16, 2027
45D0855646Christus Southeast Texas St Elizabeth2830 Calder Avenue, Beaumont, TX 77702AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory

Member organizations 5

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Paul Trevino Individual Corporate OfficerCeo Jan 16, 2014
W-2 Managing EmployeeCeo Jan 16, 2014
Christus Health Organization, Irving, TX Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Feb 1, 1999 100%
Kim-Phuong Tran Individual Corporate DirectorBoard Member Jan 1, 2023
Kimberly King Webb Individual Corporate DirectorBoard Member Feb 7, 2024
Roy Steinhagen Individual Corporate DirectorBoard Member Jan 1, 2026
Shawn Michael Adams Individual Corporate OfficerCfo Mar 1, 2014
W-2 Managing EmployeeCfo Mar 1, 2014
Sonia Acosta Individual Corporate DirectorBoard Member Sep 16, 2024
Fadi V Nasrallah Individual Corporate DirectorBoard Member Feb 7, 2024

Facilities with the same owner 47

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

View all 47

Practitioners & affiliated clinicians

Practitioners 72

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 72

Affiliated clinicians 680

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 680

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1679557888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848060",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848060",
            "telephone_number": "800-756-7999",
            "fax_number": "469-282-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CALDER ST",
            "address_2": "ADMINISTRATION",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021809",
            "telephone_number": "409-899-7171",
            "fax_number": "409-899-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS HEALTH SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-899-7102"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000444",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0071717",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0910518",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133240507",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "450034",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPVA",
            "identifier": "777020001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138296205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138296207",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138296208",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1732320",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0542",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138296206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTMB CHIPS",
            "identifier": "8060",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USFHP",
            "identifier": "777020001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS Southeast Texas - St. Elizabeth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHRISTUS Southeast Texas - St. Elizabeth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.