Provider Demographics
NPI:1861542235
Name:CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Entity type:Organization
Organization Name:CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCASIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-267-3143
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:ANAHUAC
Mailing Address - State:TX
Mailing Address - Zip Code:77514-0398
Mailing Address - Country:US
Mailing Address - Phone:409-267-3143
Mailing Address - Fax:409-267-3608
Practice Address - Street 1:200 HOSPITAL DR.
Practice Address - Street 2:
Practice Address - City:ANAHUAC
Practice Address - State:TX
Practice Address - Zip Code:77514-0398
Practice Address - Country:US
Practice Address - Phone:409-267-3143
Practice Address - Fax:409-267-3608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00C25LOtherBCBS CRNA PRO FEES
TX112504901Medicaid
TX0005356055OtherAETNA NON HMO ER-PR FEES
TX127254404Medicaid
TX0002556037OtherAETNA HMO ALL
TX0007414307OtherAETNA NON HMO WCMC
TX0007414307OtherAETNA NON HMO WCMC