Provider Demographics
NPI:1689641680
Name:CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Entity Type:Organization
Organization Name:CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Other - Org Name:CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI
Other - Org Type:Doing Business As
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 1:600 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2235
Practice Address - Country:US
Practice Address - Phone:361-881-3000
Practice Address - Fax:361-881-3149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA1903X
TX000398282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH1037OtherBLUECROSS SOUTH CAMPUS
TX0052NEOtherNORTHSIDE BLUE CROSS
TX0052NEOtherPADRE ISLAND BLUE CROSS
TX121775403Medicaid
TXHH0030OtherBLUECROS SHORELINE CAMPUS
TX017734701Medicaid
TXHH0246OtherBLUECROSS MEMORIAL CAMPUS
TX121775401Medicaid
TX121775404Medicaid
TX018198401Medicaid
TX121775404Medicaid
TXHH0030OtherBLUECROS SHORELINE CAMPUS
TXHH1037OtherBLUECROSS SOUTH CAMPUS
TX=========-19OtherUNITED HP--SHORELINE CAMP
TX121775404Medicaid
TX121775401Medicaid
TX=========-13OtherUNITED HP--SOUTH CAMPUS
TX=========006OtherTRICARE SHORELINE CAMPUS
TXHH0246OtherBLUECROSS MEMORIAL CAMPUS
TX017734701Medicaid