St. Joseph Regional Health Center
Organization Active NPI General Acute Care Hospital · College Station, TX
NPI 1053963009 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1053963009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- ST. JOSEPH REGIONAL HEALTH CENTER
- Practice address
- 1604 Rock Prairie Rd
College Station, TX 77845-8345 - Phone
- (979) 764-5100
- NPI assigned
- Jul 10, 2019
- Organization subpart
- No
Authorized official
- Name
- Theron Park
- Title
- Authorized Official
- Phone
- (979) 776-2599
Owners & managing parties with NPI records 5
Other NPIs on the same Medicare enrollment 1
Affiliated clinicians 548
-
Brian Todd Abbey, DPM
-
Rae Ann Adams, M.D.
-
Adeel Afzal, M.D.
-
Adnan Afzal, M.D.
-
Astha Agarwal, M.D.
-
Sachin Agarwal, M.D.
-
Julie Nicole Albert, D.P.M.
-
Amina Alikhan, MD
-
Jared Dean Anderson, M.D.
-
Margaret Page Appleton, M.D.
-
Joseph Arbizo, DO
-
Basant Arya, M.D
-
Russell Bryan Bacak, M.D.
-
Shirley Jeanne Baker, PA-C
-
Marlene Gayder Barber, CRNA
-
Marcus Allen Baxter, D.P.M.
-
Jaime C Benton, MD
-
Gadiel A Berrio, M.D.
Medicare Care Compare: Hospital
- Listed as
- CHI St Joseph Health Regional Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- St Joseph Regional Rehab
- Ownership
- Non-profit
- Certified
- Dec 30, 1997
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 450011
- Legal name
- ST JOSEPH REGIONAL HEALTH CENTER
- Doing business as
- CHI ST JOSEPH HEALTH REGIONAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 22, 2024
- Beds
- 316
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 13, 1959 in TX
- Enrollment address
- 2801 Franciscan Dr
Bryan, TX 77802-2544 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| Gary Whitlock |
Corporate Director | Jun 30, 2021 | |
| St. Lukes Health System Corporation |
5% Or Greater Indirect Ownership Interest | Jun 12, 2019 | |
| Commonspirit Health |
5% Or Greater Indirect Ownership Interest | Nov 1, 2014 | 100% |
| Robert Upchurch |
Corporate Director |
Jun 30, 2021 | |
| Matthew Brown |
Corporate Officer |
Jul 1, 2025 | |
| Corporate Director |
Jul 1, 2025 | ||
| Frank Ashley |
Corporate Director |
Jun 30, 2021 | |
| Terika Richardson Mbanu |
Corporate Director |
Jul 1, 2025 | |
| Donald D Hearne |
Corporate Officer |
Jul 1, 2025 | |
| Brooks Bass |
Corporate Director | Jun 30, 2021 | |
| Brad Beers |
Corporate Director | Jun 30, 2021 | |
| Thomas Kopfensteiner |
Corporate Director |
Jul 1, 2025 | |
| Shelli D Brooks |
Corporate Officer |
Sep 1, 2025 | |
| Operational/Managerial Control |
Sep 1, 2025 | ||
| St Joseph Regional Health Center |
5% Or Greater Direct Ownership Interest | Jun 30, 2021 | 100% |
| Operational/Managerial Control | Jun 30, 2021 | 100% | |
| Jane Ainsworth |
Corporate Director | Jun 30, 2021 | |
| Monte J Bostwick |
Corporate Director |
Jul 1, 2025 | |
| Operational/Managerial Control |
Jul 1, 2025 | ||
| Indira S Anupindi |
Corporate Director | Jun 30, 2021 | |
| Demetress L Harrell |
Corporate Director | Jun 30, 2021 | |
| St Lukes Health Clinical Operations |
5% Or Greater Indirect Ownership Interest | Jun 30, 2021 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080206000156 | TX | Part a Provider - Hospital | 5294727921 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bryan, TX; College Station, TX; Brenham, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
1604 Rock Prairie Rd
College Station, TX 77845-8345
Mailing address
2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-2478
Other names
- CHI St. Joseph Health College Station Hospital
Other providers in College Station, TX
- Tonya Spradlin
- Bradley Alexander Sprenger
- Leslie Springer
- Anna Maria Sprouse
- Asritha Srireddy
- St. Joseph Regional Health Center
- Daniel Philip Stagg III
- Brian H. Stagner
- Kari Stapleton
- David Staten
All providers in College Station, 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 Jul 10, 2019. 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.