NPIMap

Organization Active NPI

Christus Spohn Health System Corporation

Doing business as CHRISTUS Spohn Hospital Alice

  • General Acute Care Hospital
  • Alice, TX
National Provider Identifier
1003885641
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
006894 Issued in TX
Legal business name
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Doing business as
CHRISTUS Spohn Hospital Alice
Practice address
2500 E Main St
Alice, TX 78332-4169
Phone
(361) 664-4376
Fax
(361) 668-2251
NPI assigned
Mar 16, 2006
Last updated
May 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Osbert Blow
Title
Ceo
Phone
(361) 288-2222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X 006894 TX Primary

Addresses

Primary practice location

2500 E Main St
Alice, TX 78332-4169

Mailing address

PO Box 847899
Dallas, TX 75284-7899
Phone (800) 756-7999

Other names 1

  • CHRISTUS Spohn Hospital Alice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040609000754 TX Part A Provider - Hospital 8426967894 Practice locations: Alice, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003885641. Details of each certification follow.

Hospital certification: CCN 450828

Legal name
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Doing business as
CHRISTUS SPOHN HOSPITAL ALICE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Apr 15, 1999
Last certification
Jun 7, 2024
Beds
135
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 10, 1965 in TX
Enrollment address
2500 E Main St
Alice, TX 78332-4169
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Christus Spohn Hospital AliceCCN 450828 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1004 Fowler Way
Ste 4
Placerville, CA 95667
Phone (530) 626-9488

Networks

  • devoted network organization-29f43891-2cde-4604-ab6a-baa4d2061a18Plans: DEVOTED CHOICE MA ONLY 006 TX (PPO) (H6813-006-000, H6813); DEVOTED CHOICE GIVEBACK 001 TX (PPO) (H6813-001-000, H6813)

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey Puckett Individual Corporate DirectorBoard Member Jan 1, 2024
Christus Health Organization, Irving, TX Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jul 1, 2004 100%
Rebecca B Rios Individual Corporate OfficerCfo Nov 19, 2019
W-2 Managing EmployeeCfo Nov 19, 2019
Bill Colston Individual Corporate DirectorBoard Member Apr 1, 2024
Nueces County Hospital District Organization, Corpus Christi, TX Other Oct 1, 2012
Gabriel Guerra Individual Corporate DirectorBoard Member Jan 1, 2019
Mary C Henry Individual Corporate DirectorBoard Member Jan 1, 2024
Dominic Dominguez Individual Corporate OfficerCeo Jan 1, 2023
Corporate DirectorCeo Jan 1, 2023
Orel M Everett Individual Corporate DirectorBoard Member Jan 1, 2024
Kirkby E Townsend Individual Corporate DirectorBoard Member Jan 1, 2018
Audrey Webber Individual Corporate DirectorBoard Member Jun 4, 2024
Yvonne H Hinojosa Individual Corporate DirectorBoard Member Jan 1, 2024
Shah Faizul Islam Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 47

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

Affiliated clinicians 96

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 96

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1003885641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847899",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847899",
            "telephone_number": "800-756-7999",
            "fax_number": "469-282-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E MAIN ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324169",
            "telephone_number": "361-664-4376",
            "fax_number": "361-668-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS SPOHN HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "BLOW",
        "authorized_official_first_name": "OSBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-288-2222"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "006894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS Spohn Hospital Alice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHRISTUS Spohn Hospital Alice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.