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	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0063BY	OTHER	TX	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881663631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTUS SPOHN HEALTH SYSTEM CORPORATION

Provider Business Mailing Address
First Line	:	600 ELIZABETH ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78404-2235
Country	:	US
Telephone Number	:	361-881-3225
Fax Number	:	361-884-7276

Provider Business Practice Location Address
First Line	:	1602 E. HOUSTON HIGHWAY
Second Line	:
City	:	BEEVILLE
State	:	TX
Zip	:	78102-5324
Country	:	US
Telephone Number	:	361-881-3225
Fax Number	:	361-884-7276

Authorized Official
Title or Position	:	CFO
Name	:	PAMELA L BROWER
Credential	:
Telephone Number	:	361-881-3225

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	10/24/2014

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