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General NPI Number Information
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NPI Number | 1003885641
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Entity Type | Organization
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Legal Business Name | CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 2500 E MAIN ST
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City | ALICE
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State | TX
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Zip | 78332-4169
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Country | US
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Telephone | 361-664-4376
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Fax | 361-668-2251
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Provider Business Mailing Address
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Address Line | PO BOX 847899
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City | DALLAS
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State | TX
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Zip | 75284-7899
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Country | US
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Telephone | 800-756-7999
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Fax | 469-282-1999
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Authorized Official
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Title or Position | CEO
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Name | OSBERT BLOW
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Credential |
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Telephone | 361-288-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 006894
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License Number State | TX
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