NPIMap

Organization Active NPI

Beaumont Hospital Holdings Inc

  • Specialist
  • Port Arthur, TX
National Provider Identifier
1790701753
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BEAUMONT HOSPITAL HOLDINGS INC
Practice address
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007
Phone
(409) 853-7389
Fax
(409) 853-5910
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Richard D Gonzalez
Title
Officer
Phone
(409) 724-7389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007

Mailing address

2555 Jimmy Johnson Blvd
Attn: Billing
Port Arthur, TX 77640-2007
Phone (409) 724-7389

Other identifiers 2

IdentifierTypeStateIssuer
090106802MedicaidTX
090106801MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1790701753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "address_2": "ATTN: BILLING",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-724-7389",
            "fax_number": "409-853-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-853-7389",
            "fax_number": "409-853-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT HOSPITAL HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "409-724-7389"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090106802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090106801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.