| Hsa Port Arthur, Llc | |
|
2555 Jimmy Johnson Blvd Port Arthur TX 77640-2007 | |
| (409) 724-7389 | |
| Not Available |
| Full Name | Hsa Port Arthur, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2555 Jimmy Johnson Blvd, Port Arthur, Texas |
| Authorized Official Name and Position | Aimee Gill (DEPUTY GENERAL COUNSEL) |
| Authorized Official Contact | 8186660602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hsa Port Arthur, Llc 2555 Jimmy Johnson Blvd Port Arthur TX 77640-2007 Ph: (409) 724-7389 | Hsa Port Arthur, Llc 2555 Jimmy Johnson Blvd Port Arthur TX 77640-2007 Ph: (409) 724-7389 |
| NPI Number | 1962226100 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 0648700658 |
|---|---|
| Medicare Enrollment ID | O20250325003938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962226100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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