NPIMap

Organization Active NPI

Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
National Provider Identifier
1295736734
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CHRISTUS HEALTH ARK-LA-TEX
Practice address
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone
(903) 614-2019
Fax
(903) 614-2212
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Jason Matthew Adams
Title
President
Phone
(702) 738-4546

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X 000788 TX
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2600 Saint Michael Dr
Texarkana, TX 75503-2372

Mailing address

PO Box 848024
Dallas, TX 75284-8024
Phone (800) 756-7999

Other identifiers 14

IdentifierTypeStateIssuer
146008105MedicaidAR
770010605OtherARBREAST CARE
013954607MedicaidMO
56148MedicaidTX
1733229MedicaidLA
020976901MedicaidTX
094644402MedicaidTX
HH0902OtherTXBLUE CROSS
75503-0000OtherCHAMPUS
00410737XMedicaidGA
100703010CMedicaidOK
8149704MedicaidNJ
86487OtherLABLUE CROSS
10063OtherARBLUE CROSS

Other names 1

  • CHRISTUS St. Michael Health System Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707001135 TX Part A Provider - Hospital 2264325588 1 other NPI on this enrollment
Practice locations: Texarkana, TX; Atlanta, TX

Hospital certification: CCN 450801

Legal name
CHRISTUS HEALTH ARK-LA-TEX
Doing business as
CHRISTUS ST. MICHAEL HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 5, 1994
Last certification
Nov 17, 2025
Beds
724 (527 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Feb 1, 1999 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 4, 1999 in TX
Enrollment address
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Christus St Michael Health SystemCCN 450801
Overall star rating
3 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 (25 of 67)

2108 Texas Ave
Ste 3061
Alexandria, LA 71301
Phone (318) 442-2232

2108 Texas Ave
Alexandria, LA 71301
Phone (318) 442-2232

3311 Prescott Rd
Ste 415
Alexandria, LA 71301
Phone (318) 443-9300

2108 Texas Ave
Ste 3062
Alexandria, LA 71301
Phone (318) 442-5398

3311 Prescott Rd
Ste 316
Alexandria, LA 71301
Phone (318) 449-8882

1701 Jimmie Davis Hwy
#200
Bossier City, LA 71112
Phone (318) 681-1660

1505 E Bert Kouns Industrial Loop
#201
Shreveport, LA 71105
Phone (318) 681-4103

1505 State Highway 19 S
Athens, TX 75751
Phone (903) 675-1725

3650 Laurel St
Ste Tbd
Beaumont, TX 77707

5875 N Major Dr
Ste 105
Beaumont, TX 77713

4046 Dowlen Rd
Ste A
Beaumont, TX 77706
Phone (409) 225-5924

4188 NW Loop
Carthage, TX 75633
Phone (903) 315-4160

1290 FM 43
Ste J
Corpus Christi, TX 78415
Phone (361) 238-0015

613 Elizabeth St
Ste 502
Corpus Christi, TX 78404
Phone (361) 861-1890

4938 S Staples St
Ste 114
Corpus Christi, TX 78411

5802 Saratoga Blvd
Ste 300
Corpus Christi, TX 78414
Phone (361) 696-6200

14202 S Padre Island Dr
Ste A
Corpus Christi, TX 78418
Phone (361) 902-6170

2606 Hospital Blvd
Ste 6
Corpus Christi, TX 78405

4938 S Staples St
Ste E8
Corpus Christi, TX 78411
Phone (361) 452-9620

612 N Bedell Ave
Ste C
Del Rio, TX 78840
Phone (210) 703-8925

2824 N Veterans Blvd
#A
Eagle Pass, TX 78852

5101 N O Connor Blvd
Irving, TX 75039
Phone (469) 282-1073

700 E Marshall Ave
Ste 5007
Longview, TX 75601

701 E Marshall Ave
Ste 400
Longview, TX 75601
Phone (903) 315-1696

703 E Marshall Ave
Ste 1001
Longview, TX 75601
Phone (903) 753-7291

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Jason Adams Individual Corporate OfficerPresident Feb 15, 2021
Corporate DirectorBoard Member Feb 15, 2021
John Christopher Glenney Individual Corporate DirectorBoard Member Jan 1, 2021
Christus Health Organization, Irving, TX Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Christus Northeast Texas and Northern Louisiana Health System Corp Organization, Irving, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Shannon Dacus Individual Corporate DirectorBoard Member Jan 1, 2021
Rita Fanning Individual Corporate DirectorBoard Member Jan 21, 2021
Theresa M Popp Individual Corporate DirectorBoard Member Jan 1, 2022
Jeb Jones Individual Corporate DirectorBoard Member Jan 21, 2021
Michael G Boles Individual Corporate OfficerCfo Feb 26, 2015
W-2 Managing Employee Feb 26, 2015
Mark R Anderson Individual Corporate DirectorBoard Member Jan 1, 2021
Sonia Acosta Individual Corporate DirectorBoard Member Sep 16, 2024
Steven P Keuer Individual Corporate DirectorBoard Member Jan 1, 2021

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 49

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

View all 49

Practitioners & affiliated clinicians

Practitioners 152

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

View all 152

Affiliated clinicians 766

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

View all 766

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1295736734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848024",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848024",
            "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": "2600 SAINT MICHAEL DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032372",
            "telephone_number": "903-614-2019",
            "fax_number": "903-614-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS HEALTH ARK-LA-TEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-738-4546"
    },
    "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": "000788",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146008105",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREAST CARE",
            "identifier": "770010605",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013954607",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56148",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1733229",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020976901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094644402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "75503-0000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00410737X",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100703010C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8149704",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "86487",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10063",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS St. Michael Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHRISTUS St. Michael Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.