NPIMap

Organization Active NPI

Christus Health Ark-la-Tex

Doing business as CHRISTUS St. Michael Health System

  • 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
Doing business as
CHRISTUS St. Michael Health System
Practice address
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone
(903) 614-2019
Fax
(903) 614-2212
NPI assigned
Aug 9, 2005
Last updated
May 25, 2022By the provider in NPPES
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
86487OtherLABLUE CROSS
013954607MedicaidMO
8149704MedicaidNJ
HH0902OtherTXBLUE CROSS
1733229MedicaidLA
10063OtherARBLUE CROSS
75503-0000OtherCHAMPUS
00410737XMedicaidGA
770010605OtherARBREAST CARE
094644402MedicaidTX
020976901MedicaidTX
100703010CMedicaidOK
56148MedicaidTX
146008105MedicaidAR

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295736734. Details of each certification follow.

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 · All quality measures
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 52)

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

3311 Prescott Rd
Alexandria, LA 71301
Phone (318) 442-2400

3650 Laurel St
Ste Tbd
Beaumont, TX 77707

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

5875 N Major Dr
Ste 105
Beaumont, TX 77713

1521 S Staples St
Ste 700
Corpus Christi, TX 78404
Phone (361) 888-8271

2606 Hospital Blvd
Ste 6
Corpus Christi, TX 78405

4938 S Staples St
Ste 114
Corpus Christi, TX 78411

5802 Saratoga Blvd
Ste 150
Corpus Christi, TX 78414
Phone (361) 985-1888

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

613 Elizabeth St
Ste 509
Corpus Christi, TX 78404
Phone (361) 882-3010

2824 N Veterans Blvd
#A
Eagle Pass, TX 78852

2824 N Veterans Blvd
Ste N
Eagle Pass, TX 78852
Phone (210) 703-8925

2014 S Wheeler St
Ste 170
Jasper, TX 75951
Phone (409) 384-1882

1614 S Henderson Blvd
Ste A
Kilgore, TX 75662
Phone (903) 983-2110

1311 E General Cavazos Blvd
Ste 203
Kingsville, TX 78363
Phone (361) 592-2223

1311 Gen Cvazos Blvd
Ste 1
Kingsville, TX 78363
Phone (361) 592-8531

323 E Hawkins Pkwy
Ste G
Longview, TX 75605
Phone (903) 315-5733

409 N 6th St
Longview, TX 75601
Phone (903) 315-5520

700 E Marshall Ave
Ste 5007
Longview, TX 75601

815 S Washington Ave
Ste 100
Marshall, TX 75670
Phone (903) 927-6094

815 S Washington Ave
Ste 202
Marshall, TX 75670
Phone (903) 315-5733

910 James Bowie Dr
New Boston, TX 75570
Phone (903) 614-5950

598 N Union Ave
Ste 250
New Braunfels, TX 78130
Phone (210) 229-7234

6901 Medical Center Dr
Ste 220
Orange, TX 77630
Phone (409) 883-3201

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 113

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 113

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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "86487",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013954607",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8149704",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH0902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1733229",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10063",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "75503-0000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00410737X",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREAST CARE",
            "identifier": "770010605",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094644402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020976901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100703010C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56148",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146008105",
            "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.