NPIMap

Organization Active NPI

Christus Spohn Health System Corporation

  • General Acute Care Hospital
  • Kingsville, TX
National Provider Identifier
1093783391
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000216 Issued in TX
Legal business name
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Practice address
1311 General Cavazos Blvd
Kingsville, TX 78363-7197
Phone
(361) 595-1661
Fax
(361) 595-5005
NPI assigned
Mar 10, 2006
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 000216 TX Primary

Addresses

Primary practice location

1311 General Cavazos Blvd
Kingsville, TX 78363-7197

Mailing address

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

Other identifiers 10

IdentifierTypeStateIssuer
136436604MedicaidTX
HH0359OtherTXBLUE CROSS
XHSP42260MedicaidCA
000A4183MedicaidNM
136436606MedicaidTX
1763896MedicaidLA
450163OtherTXUNITED HEALTH
XHSP32260MedicaidCA
0955302MedicaidIA
3015039MedicaidWA

Other names 1

  • CHRISTUS Spohn Hospital Kleberg Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030227000011 TX Part A Provider - Hospital 8426967894 Practice locations: Kingsville, TX

Hospital certification: CCN 450163

Legal name
CHRISTUS SPOHN HEALTH SYSTEM CORPORATION
Doing business as
CHRISTUS SPOHN HOSPITAL KLEBERG
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 25, 2021
Beds
96
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jul 1, 2001 (3 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 10, 1965 in TX
Enrollment address
1311 E General Cavazos Blvd
Kingsville, TX 78363-7197
Main/Primary Hospital Location
Hospital subgroups
Acute care

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 KlebergCCN 450163
Overall star rating
2 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

1736 W Prien Lake Rd
Lake Charles, LA 70601
Phone (337) 478-5085

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 Feb 1, 1999 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 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 115

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

View all 115

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1093783391",
    "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": "1311 GENERAL CAVAZOS BLVD",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783637197",
            "telephone_number": "361-595-1661",
            "fax_number": "361-595-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS SPOHN HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "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": "000216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136436604",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0359",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP42260",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000A4183",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136436606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1763896",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "450163",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XHSP32260",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0955302",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015039",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS Spohn Hospital Kleberg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHRISTUS Spohn Hospital Kleberg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsville, TX

Sources for this page

Verify at the official NPI Registry.