Intrepid Usa Healthcare Services

LBN: Intrepid Of Southeast Texas Inc
Intrepid Usa Healthcare Services is an health care organization with primary practice located at 1480 Cornerstone Ct , Beaumont TX 77706-3896. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Intrepid Of Southeast Texas Inc can be contacted via phone (409) 722-0515, or through Kunysz, John M via phone (214) 445-3750.

Contact Information

Primary practice address
1480 Cornerstone Ct Beaumont TX 77706-3896
Phone: (409) 722-0515
Fax: (409) 722-0633
Website:
Map and Directions
Authorized official contact:
Name: Kunysz, John M
Phone: (214) 445-3750

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 002511 Texas

Profile Details

NPI number 1588646186
LBN Legal business name Intrepid Of Southeast Texas Inc
DBA Doing business as Intrepid Usa Healthcare Services
Authorized official Kunysz, John M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 8th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588646186 NPPES
Texas MEDICAID 095167503

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