1447253729 NPI number — CHRISTUS HEALTH GULF COAST

Table of content: (NPI 1447253729)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447253729 NPI number — CHRISTUS HEALTH GULF COAST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTUS HEALTH GULF COAST
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447253729
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 S FRY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KATY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77450-2237
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-657-7341
Provider Business Mailing Address Fax Number:
713-657-7106

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 S FRY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77450-2237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-657-7341
Provider Business Practice Location Address Fax Number:
713-657-7106
Provider Enumeration Date:
05/31/2005

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
ELLEN
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
409-899-7101

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  007159 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 430680 . This is a "HEALTHSPRING PROVIDER NUM" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 7207081 . This is a "AETNA PROVIDER NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: HH0971 . This is a "BLUE CROSS PROVIDER NUMBE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 094225202 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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