NPIMap

Organization Active NPI

Christus Health Southeast Texas

Doing business as CHRISTUS Jasper Memorial Hospital

  • Rehabilitation Hospital Unit
  • Jasper, TX
National Provider Identifier
1811960362
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
000038 Issued in TX
Legal business name
CHRISTUS HEALTH SOUTHEAST TEXAS
Doing business as
CHRISTUS Jasper Memorial Hospital
Practice address
1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone
(409) 384-1872
Fax
(409) 383-0622
NPI assigned
Feb 7, 2006
Last updated
Jul 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Ms. Deborah R Wiegand, RN
Title
Administrator
Phone
(409) 384-1872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 000038 TX Primary

Addresses

Primary practice location

1275 Marvin Hancock Dr
Jasper, TX 75951-4935

Mailing address

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-1872

Other names 1

  • CHRISTUS Jasper Memorial Hospital Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1811960362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 MARVIN HANCOCK DR",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514935",
            "telephone_number": "409-384-1872",
            "fax_number": "409-383-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 MARVIN HANCOCK DR",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514935",
            "telephone_number": "409-384-1872",
            "fax_number": "409-383-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS HEALTH SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "WIEGAND",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-384-1872",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS Jasper Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.