Active NPI
CBSH,LLC
- Special Hospital
- Corpus Christi, TX
National Provider Identifier
1013142553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- Legal business name
- CBSH,LLC
- Practice address
- 6130 Parkway Dr.
Corpus Christi, TX 78414-2455 - Phone
- (361) 993-2000
- Fax
- (361) 985-6834
- NPI assigned
- May 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5935
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | Primary |
Addresses
Primary practice location
6130 Parkway Dr.
Corpus Christi, TX 78414-2455
Mailing address
6130 Parkway Dr.
Corpus Christi, TX 78414-2455
Phone (361) 993-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211970301 | Medicaid | TX |
Other names 1
- SOUTH TEXAS SURGICAL HOSPITAL
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 670061
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SOUTH TEXAS SURGICAL HOSPITAL
- Certification status
- Terminated Voluntary: merger or closure, Apr 1, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Dec 16, 2009
- Last certification
- Oct 16, 2019
- Beds
- 33
- Ownership / control type
- Private (for profit)
- Facility address
- 6130 Parkway Drive
Corpus Christi, TX 78414
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Surgery Physician
- Corpus Christi, TX
- NPI 1457404139
Member Of
-
- Pain Medicine (Anesthesiology) Physician
- Corpus Christi, TX
- NPI 1053521641
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647648000000",
"number": "1013142553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6130 PARKWAY DR.",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784142455",
"telephone_number": "361-993-2000",
"fax_number": "361-985-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6130 PARKWAY DR.",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784142455",
"telephone_number": "361-993-2000",
"fax_number": "361-985-6834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CBSH,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-28",
"last_updated": "2022-03-19",
"certification_date": "2022-03-19",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "BOYD",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5935"
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211970301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SOUTH TEXAS SURGICAL HOSPITAL",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SOUTH TEXAS SURGICAL HOSPITAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.