| Memorial Hermann Baptist Beaumont | |
|
3080 College St Beaumont TX 77701-4606 | |
| (409) 212-6149 | |
| (409) 212-6063 |
| Full Name | Memorial Hermann Baptist Beaumont |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3080 College St, Beaumont, Texas |
| Authorized Official Name and Position | David N Parmer (CEO) |
| Authorized Official Contact | 4092125012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hermann Baptist Beaumont P O Box 974599 Dallas TX 75397-4599 Ph: (409) 212-6149 | Memorial Hermann Baptist Beaumont 3080 College St Beaumont TX 77701-4606 Ph: (409) 212-6149 |
| NPI Number | 1104920412 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 04/22/2010 |
| Medicare PECOS PAC ID | 9335123033 |
|---|---|
| Medicare Enrollment ID | O20060918000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104920412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 000389 (Texas) | Primary |
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