Victory Medical Center Beaumont, L.P.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

VICTORY MEDICAL CENTER BEAUMONT, L.P.

Practice address

6025 Metropolitan Drive
Victory Medical Center Beaumont
Beaumont, TX 77706

Phone

(281) 863-2100

Fax

(281) 292-2773

NPI assigned

Jan 29, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Belinda Simpson, MBA, RHIA, CHC, CHPC

Title

Chief Operating Officer

Phone

(281) 863-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670104

Legal name

VICTORY MEDICAL CENTER BEAUMONT LP

Certification status

Terminated Voluntary: merger or closure, Apr 25, 2015

Provider type (POS)

Hospital – Short-term

Participating since

Apr 21, 2015

Last certification

Apr 21, 2015

Beds

17

Ownership / control type

Private (not for profit)

Facility address

6025 Metropolitan Dr
Beaumont, TX 77706

Locations

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1881932663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 TIMBERLOCH PLACE",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801141",
            "telephone_number": "281-863-2100",
            "fax_number": "281-292-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DRIVE",
            "address_2": "VICTORY MEDICAL CENTER BEAUMONT",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77706",
            "telephone_number": "281-863-2100",
            "fax_number": "281-292-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL CENTER BEAUMONT, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "281-863-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, RHIA, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Darlene Vickers, SA-C/CST
• Christopher Vickery, NP
• Andrew Victores, M.D.
• Nina Victores, DMD
• Ruben D Victores, MD
• Vida Keller Riston RN CNM PC
• Sheila Vidal, RPH
• Vidor Texas Care LLC
• Vijay Kumar MD PA
• Vijayalakshmi M Tammareddi MD PA

• General Acute Care Hospital in Beaumont, TX
• Providers in Beaumont, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.