Christus Good Shepherd Medical Center
Organization Active NPI General Acute Care Hospital · Longview, TX
NPI 1124092036 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1124092036
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- CHRISTUS GOOD SHEPHERD MEDICAL CENTER
- Practice address
- 700 E Marshall Ave
Longview, TX 75601-5580 - Phone
- (903) 315-2000
- NPI assigned
- Feb 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CHRISTUS HEALTH
Authorized official
- Name
- Norman Todd Hancock
- Title
- Ceo
- Phone
- (903) 315-4000
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 3
-
Mark R Anderson, MD
-
Steven P Keuer, MD
-
Theresa Marie Popp, M.D.
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 1
Facilities with the same owner 49
Practitioners 164
-
Jeremiah Shea Andrews, CRNA
-
Roger Carl Bryant, C.R.N.A.
-
Ashley Renee' Dixon, CRNA
-
Tawonda Felton, CRNA
-
Clifton Fincher, CRNA
-
Niki Michelle Fincher, CRNA
-
Abby Nicole Godwin, CRNA
-
Stephen Daniel Harms, CRNA
-
Lee Allen Holladay, C.R.N.A.
-
Richard Johnson, CRNA
-
Erica Marie Korompai, CRNA
-
Zackary Gene Lister, C.R.N.A.
-
Tyler Pennal Littlejohn, DNAP - CRNA
-
David W Maly, CRNA
-
Joseph Alton McRee, CRNA
-
Kristin Renee Patterson, CRNA
-
James Ray Robinette, CRNA
-
Daniel Dwight Smith, CRNA
-
Robert Jason Steele, CRNA
-
Jeffrey Lee Williams, CRNA
-
Matthew Joshua Williams, CRNA
-
Robin Melinda Woodard, CRNA
Affiliated clinicians 785
-
Julie Adams, NP
-
Gerald J Akpassa, MD
-
Kashif Alauddin, M.D.
-
Fadi Albahra, MD
-
Asghar Ali, M.D.
-
Marlena Alosi, DO
-
Belinda M Anderson, RN, MSN, MBA, FNP-BC
-
Mary S Anderson, MD
-
Nicholas Stephen Andrade, M.D.
-
Jeremiah Shea Andrews, CRNA
-
Luis R. Arce, MD
-
Kinsey Arnold, FNP-C
-
Sammie K Ashley, CRNA
Medicare Care Compare: Hospital
- Listed as
- Christus Good Shepherd Medical Center
- Overall star rating
- ★★★★☆ 4 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
- Christus Good Shepherd Medical Center - Longview
- Ownership
- Non-profit
- Certified
- Sep 27, 2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX
Hospital certification: CCN 450032
- Legal name
- CHRISTUS GOOD SHEPHERD MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 18, 2025
- Beds
- 574 (456 certified)
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Sep 1, 2017 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 24, 1954 in TX
- Enrollment address
- 700 E Marshall Ave
Longview, TX 75601-5580 - Hospital subgroups
- General, Acute care
Hospital certification: CCN 45T032
- Legal name
- CHRISTUS GOOD SHEPHERD MEDICAL CENTER
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 23, 1954 in TX
- Enrollment address
- 700 E Marshall Ave
Longview, TX 75601-5580 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| John Christopher Glenney |
Corporate Director |
Jan 1, 2021 | |
| Christus Health |
5% Or Greater Indirect Ownership Interest | Dec 7, 2017 | 100% |
| Christus Northeast Texas and Northern Louisiana Health System Corp |
5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 100% |
| Shannon Dacus |
Corporate Director |
Jan 1, 2021 | |
| Rita Fanning |
Corporate Director |
Jan 21, 2021 | |
| Theresa M Popp |
Corporate Director |
Jan 1, 2022 | |
| Norman Todd Hancock |
Corporate Officer |
Feb 1, 2017 | |
| W-2 Managing Employee |
Feb 1, 2017 | ||
| Jeb Jones |
Corporate Director |
Jan 21, 2021 | |
| Charles Michael Cheek |
Corporate Officer |
Sep 1, 2017 | |
| Mark R Anderson |
Corporate Director |
Jan 1, 2021 | |
| Sonia Acosta |
Corporate Director |
Sep 16, 2024 | |
| Steven P Keuer |
Corporate Director |
Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040604000400 | TX | Part B Supplier - Clinic/Group Practice | 3779565544 |
Receives reassigned benefits from 106 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marshall, TX; Longview, TX; Kilgore, TX |
| O20090116000241 | TX | Part a Provider - Hospital | 3779565544 | |
| O20090120000342 | TX | Part a Provider - Hospital | 3779565544 | Practice locations: Marshall, TX; Longview, TX |
National Provider Directory
- Part of
- Christus Spohn Family Health Center Freer
Locations
1875 US Highway 259 S
Henderson, TX 75654
Phone (903) 315-2074
106 N Alley St
Jefferson, TX 75657
Phone (903) 665-1014
1614 S Henderson Blvd
Ste B
Kilgore, TX 75662
Phone (903) 606-3160
701 E Marshall Ave
Ste 100
Longview, TX 75601
Phone (903) 315-2715
701 E Marshall Ave
Ste 106
Longview, TX 75601
Phone (903) 315-2758
323 E Hawkins Pkwy
Ste E
Longview, TX 75605
Phone (903) 544-6700
703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300
701 E Marshall Ave
Ste 104
Longview, TX 75601
Phone (903) 315-2755
323 E Hawkins Pkwy
Ste C
Longview, TX 75605
Phone (903) 544-6700
618 S Grove St
Ste 100
Marshall, TX 75670
Phone (903) 315-2504
390 W Texas Ave
Waskom, TX 75692
Phone (903) 687-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Rehabilitation Hospital Unit | 273Y00000X | TX | ||
| General Acute Care Hospital | 282N00000X | TX | Yes |
Addresses
Primary practice location
700 E Marshall Ave
Longview, TX 75601-5580
Mailing address
PO Box 732041
Dallas, TX 75373-2041
Phone (903) 315-2000
Other practice location 1
811 S Washington Ave
Marshall, TX 75670-5336
Phone (903) 927-6000
Other providers in Longview, TX
- Courtney Brooks Chism
- Jennifer L. Chow
- Thomas Chow
- Beverly Blaine Christiansen
- Beverly H. Christopher
- Christus Good Shepherd Medical Center
- Christus Trinity Clinic
- Christy R. Collins, LCSW Inc
- Cindy Johnson Kendrasha Gray
- Circle of Life Inc.
All providers in Longview, 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 Nov 12, 2024. 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.