NPIMap

Organization Active NPI

Driscoll Children's Hospital

  • Ambulance
  • Corpus Christi, TX
National Provider Identifier
1215064506
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
178036 Issued in TX
Legal business name
DRISCOLL CHILDREN'S HOSPITAL
Practice address
3533 S Alameda St
Corpus Christi, TX 78411-1721
Phone
(361) 694-5000
NPI assigned
Feb 27, 2007
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Mr. Gregory Ward
Title
VP of Finance
Phone
(361) 694-6126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 178036 TX Primary
Air Carrier 344800000X NU

Addresses

Primary practice location

3533 S Alameda St
Corpus Christi, TX 78411-1721

Mailing address

PO Box 926
San Antonio, TX 78294-0926
Phone (361) 694-5000

Other practice location 1

302 International Blvd
Corpus Christi, TX 78406-1815
Phone (361) 694-5000

Other identifiers 2

IdentifierTypeStateIssuer
132812202MedicaidTX
132812210MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080618000531 TX Part B Supplier - Ambulance Service Supplier 4688642960 Practice locations: Corpus Christi, TX

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory

Locations

302 International Blvd
Corpus Christi, TX 78406

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Driscoll Childrens HospitalCorpus Christi, TX, CCN 453301 Hospital Operational/Managerial Control (100%) Jan 1, 1992
Driscoll Children's Hospital Rio Grande ValleyEdinburg, TX, CCN 453321 Hospital Operational/Managerial Control (100%) May 1, 2024

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1215064506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 926",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782940926",
            "telephone_number": "361-694-5000",
            "fax_number": "361-694-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784061815",
            "country_code": "US",
            "telephone_number": "361-694-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRISCOLL CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "361-694-6126",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "178036",
            "primary": true
        },
        {
            "code": "344800000X",
            "taxonomy_group": "",
            "desc": "Air Carrier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132812202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132812210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.