Provider Demographics
NPI:1447253729
Name:CHRISTUS HEALTH GULF COAST
Entity type:Organization
Organization Name:CHRISTUS HEALTH GULF COAST
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-899-7101
Mailing Address - Street 1:701 S FRY RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2237
Mailing Address - Country:US
Mailing Address - Phone:713-657-7341
Mailing Address - Fax:713-657-7106
Practice Address - Street 1:701 S FRY RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2237
Practice Address - Country:US
Practice Address - Phone:713-657-7341
Practice Address - Fax:713-657-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007159282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX430680OtherHEALTHSPRING PROVIDER NUM
TX7207081OtherAETNA PROVIDER NUMBER
TXHH0971OtherBLUE CROSS PROVIDER NUMBE
TX094225202Medicaid
TX450832Medicare Oscar/Certification