Provider Demographics
NPI:1700974292
Name:DUBUIS HEALTH SYSTEM, INC.
Entity type:Organization
Organization Name:DUBUIS HEALTH SYSTEM, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-277-2334
Mailing Address - Street 1:1 SAINT MARY PL
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4343
Mailing Address - Country:US
Mailing Address - Phone:318-678-1060
Mailing Address - Fax:318-678-1090
Practice Address - Street 1:1 SAINT MARY PL
Practice Address - Street 2:9TH FLOOR
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4343
Practice Address - Country:US
Practice Address - Phone:318-678-1060
Practice Address - Fax:318-678-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA403282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA7243309OtherAETNA PIN
LA3233974OtherAETNA PVN
LA382847OtherGEHA
LA1704423Medicaid
LA61494OtherLA BCBS
LA61494OtherLA BCBS