NPIMap

Organization Active NPI

St Joseph Regional Health Center

Doing business as CHI St Joseph Health Grimes Hospital

  • Critical Access Hospital
  • Navasota, TX
National Provider Identifier
1154317774
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
ST JOSEPH REGIONAL HEALTH CENTER
Doing business as
CHI St Joseph Health Grimes Hospital
Practice address
210 S Judson St
Navasota, TX 77868-3704
Phone
(936) 825-6585
Fax
(936) 870-4582
NPI assigned
Sep 20, 2005
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ricardo Diaz
Title
Chief Operating Officer
Phone
(979) 776-2580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

210 S Judson St
Navasota, TX 77868-3704

Mailing address

210 S Judson St
Navasota, TX 77868-3704
Phone (936) 825-6585

Other names 1

  • CHI ST JOSEPH HEALTH GRIMES HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000397 TX Part A Provider - Critical Access Hospital 5294727921 Practice locations: Navasota, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154317774. Details of each certification follow.

Hospital certification: CCN 451322

Legal name
ST JOSEPH REGIONAL HEALTH CENTER
Doing business as
CHI ST JOSEPH HEALTH GRIMES HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
May 4, 2001
Last certification
Mar 13, 2025
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 13, 1959 in TX
Enrollment address
210 S Judson St
Navasota, TX 77868-3704
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Grimes St Joseph Health CenterCCN 451322 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Hospital He9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gary Whitlock Individual Corporate Director Jun 30, 2021
St. Lukes Health System Corporation Organization, Houston, TX Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 12, 2019
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Nov 1, 2014 100%
Robert Upchurch Individual Corporate Director Jun 30, 2021
Matthew Brown Individual Corporate OfficerPresident Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2025
Frank Ashley Individual Corporate Director Jun 30, 2021
Terika Richardson Mbanu Individual Corporate OfficerPresident, Commonspirit Health Jan 5, 2024
Corporate DirectorBoard Member Jul 1, 2025
Donald D Hearne Individual Corporate OfficerSecretary Jul 1, 2025
Brooks Bass Individual Corporate Director Jun 30, 2021
Brad Beers Individual Corporate Director Jun 30, 2021
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025
Shelli D Brooks Individual Corporate OfficerMRKT VP Operational Finance Sep 1, 2025
Operational/Managerial ControlMRKT VP Operational Finance Sep 1, 2025
Jane Ainsworth Individual Corporate Director Jun 30, 2021
Monte J Bostwick Individual Corporate OfficerHospital President Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2025
Operational/Managerial ControlHospital President Jul 1, 2025
Indira S Anupindi Individual Corporate Director Jun 30, 2021
Demetress L Harrell Individual Corporate Director Jun 30, 2021
St Lukes Health Clinical Operations Organization, Houston, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 30, 2021

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CHI St Joseph Health Regional HospitalBryan, TX, CCN 450011 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 30, 2021
Jun 30, 2021
CHI St. Joseph Health Rehabilitation Hospital, an Affiliate of EncompaBryan, TX, CCN 673065 Hospital 5% Or Greater Direct Ownership Interest (50%) Oct 27, 2015

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Affiliated clinicians 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1154317774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S JUDSON ST",
            "city": "NAVASOTA",
            "state": "TX",
            "postal_code": "778683704",
            "telephone_number": "936-825-6585",
            "fax_number": "936-870-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S JUDSON ST",
            "city": "NAVASOTA",
            "state": "TX",
            "postal_code": "778683704",
            "telephone_number": "936-825-6585",
            "fax_number": "936-870-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "979-776-2580"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI ST JOSEPH HEALTH GRIMES HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Navasota, TX

Sources for this page

Verify at the official NPI Registry.