Provider Demographics
NPI:1003819327
Name:CHRISTUS ST JOSEPH HOSPITAL
Entity Type:Organization
Organization Name:CHRISTUS ST JOSEPH HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-756-4269
Mailing Address - Street 1:1919 LA BRANCH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8321
Mailing Address - Country:US
Mailing Address - Phone:713-657-7341
Mailing Address - Fax:713-657-7106
Practice Address - Street 1:1919 LA BRANCH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8321
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:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000015282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6541540OtherAETNA PROVIDER NUMBER
TX430682OtherHEALTHSPRING PROVIDER NUM
TXHH0067OtherBLUE CROSS PROVIDER NUMBE
LA1732681OtherLOUISIANNA MEDICAID NUMBE
TX450035Medicare Oscar/Certification