Provider Demographics
NPI:1447228747
Name:CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Entity type:Organization
Organization Name:CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-288-2222
Mailing Address - Street 1:PO BOX 847899
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7899
Mailing Address - Country:US
Mailing Address - Phone:800-756-7999
Mailing Address - Fax:469-282-1999
Practice Address - Street 1:1500 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5312
Practice Address - Country:US
Practice Address - Phone:361-354-2000
Practice Address - Fax:361-358-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000429282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1708704Medicaid
TX022485901Medicaid
TXHH0566OtherBLUE CROSS
KS100100980AMedicaid
IN100470810AMedicaid
TX450082OtherUNITED HEALTH PLAN
TX020811801Medicaid
IN200259320AMedicaid
NC45000082Medicaid
NMB1613Medicaid
TX020811801Medicaid
NC45000082Medicaid
TX022485901Medicaid