Christus Spohn Health System Corporation
Organization Active NPI General Acute Care Hospital · Alice, TX
NPI 1003885641 · NPPES record last updated May 17, 2022
Key facts
- NPI
- 1003885641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 006894 (TX)
- Legal business name
- CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
- Practice address
- 2500 E Main St
Alice, TX 78332-4169 - Phone
- (361) 664-4376
- Fax
- (361) 668-2251
- NPI assigned
- Mar 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Osbert Blow
- Title
- Ceo
- Phone
- (361) 288-2222
Owners & managing parties with NPI records 3
-
Orel Michael Everett, M.D.
-
Shah Faizul Islam, M.D.
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 1
Facilities with the same owner 47
Practitioners 13
-
Qiqiong Cui, M.D.
-
Wang Li, M.D.
-
Erik Nisimblat, MD
-
Franz I Puyol, MD
-
Raj Subnani, M.D.
-
Wei Wang, MD/PHD
-
Sergey Shkurovich, M.D.
-
Necati Uygur Tekin, M.D.
-
Qi Tian, M.D.
-
Maocheng Zhan, MD
Affiliated clinicians 96
-
Tyler Adams, DO
-
Lillian M Alvarez, NURSE PRACTITIONER
-
Fernando Arzola, MD
-
Michelle Lin Brandt, APRN
-
Brian Doyle Brown, M.D.
-
Sergio Saul Cantu, M.D.
-
Megan Cook, DO
-
Ann Kathleen Cox, MD
-
Annie M Diaz, FNP-C
-
Ashley Nicole Diaz, DNP, CRNA
-
Elizabeth DO, DO
-
Daniel Mark Elwell, D.O.
-
Lisa Suzanne Elwell, MSN, RN, APRN, FNP-C
-
Thomas W Ertzner, MD
Medicare Care Compare: Hospital
- Listed as
- Christus Spohn Hospital Alice
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
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
- Corporation · Non-profit
- Incorporated
- Aug 10, 1965 in TX
- Enrollment address
- 2500 E Main St
Alice, TX 78332-4169 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Jeffrey Puckett |
Corporate Director |
Jan 1, 2024 | |
| Christus Health |
5% Or Greater Direct Ownership Interest | Jul 1, 2004 | 100% |
| Rebecca B Rios |
Corporate Officer |
Nov 19, 2019 | |
| W-2 Managing Employee |
Nov 19, 2019 | ||
| Bill Colston |
Corporate Director |
Apr 1, 2024 | |
| Nueces County Hospital District |
Other | Oct 1, 2012 | |
| Gabriel Guerra |
Corporate Director |
Jan 1, 2019 | |
| Mary C Henry |
Corporate Director |
Jan 1, 2024 | |
| Dominic Dominguez |
Corporate Officer |
Jan 1, 2023 | |
| Corporate Director |
Jan 1, 2023 | ||
| Orel M Everett |
Corporate Director |
Jan 1, 2024 | |
| Kirkby E Townsend |
Corporate Director |
Jan 1, 2018 | |
| Audrey Webber |
Corporate Director |
Jun 4, 2024 | |
| Yvonne H Hinojosa |
Corporate Director |
Jan 1, 2024 | |
| Shah Faizul Islam |
Corporate Director |
Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040609000754 | TX | Part a Provider - Hospital | 8426967894 | Practice locations: Alice, TX |
National Provider Directory
Locations
2500 E Main St
Fl 3
Alice, TX 78332
Phone (361) 737-0600
Networks
- devoted network organization-29f43891-2cde-4604-ab6a-baa4d2061a18
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| General Acute Care Hospital | 282N00000X | 006894 | TX | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094222901 | Medicaid | TX | |
| HH0969 | Other | TX | BLUE CROSS |
| 1708712 | Medicaid | LA | |
| B1613 | Medicaid | NM | |
| 600933600 | Medicaid | MN | |
| 100701020B | Medicaid | OK | |
| 200265360A | Medicaid | IN | |
| 710617 | Medicaid | AZ | |
| 094222902 | Medicaid | TX |
Other names
- CHRISTUS Spohn Hospital Alice
Other providers in Alice, TX
- Victoria Chapa Serna
- Jaden Renee Charles
- Kimberly Ann Charles
- Maria Elvira Chavez
- Victorine CHI
- Christus Spohn Health System Corporation
- Citica Home Health, LLC
- Toni Clark
- Clinical Partners PA - Alice
- Coastal Bend Orthopedics Supply, Inc.
All providers in Alice, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.