MEDICARE: CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit	000398	TX

General Provider Information

NPI Number	:	1467421727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 847899
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7899
Country	:	US
Telephone Number	:	800-756-7999
Fax Number	:	469-282-1999

Provider Business Practice Location Address
First Line	:	2606 HOSPITAL BLVD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78405-1804
Country	:	US
Telephone Number	:	361-902-4000
Fax Number	:	361-884-1205

Authorized Official
Title or Position	:	CEO
Name	:	OSBERT BLOW
Credential	:
Telephone Number	:	361-288-2222

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	05/17/2022

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