NPIMap

Organization Active NPI

Christus Health Southwestern Louisiana

Doing business as Christus Ochsner St Patrick Hospital

  • General Acute Care Hospital
  • Lake Charles, LA
National Provider Identifier
1629076468
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Doing business as
Christus Ochsner St Patrick Hospital
Practice address
524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone
(337) 436-2511
Fax
(469) 282-1791
NPI assigned
Jul 13, 2005
Last updated
Jul 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Paul Trevino
Title
Ceo
Phone
(409) 899-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725

Mailing address

PO Box 846039
Dallas, TX 75284-6039
Phone (800) 756-7999

Other identifiers 4

IdentifierTypeStateIssuer
90027OtherLABLUE CROSS OF LOUSIANA
1720241MedicaidLA
119679202OtherLATEXAS MEDICAID
11154OtherLABLUE CROSS 1500

Other names 1

  • CHRISTUS OCHSNER ST PATRICK HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040511000095 LA Part B Supplier - Clinic/Group Practice 5799695839 Receives reassigned benefits from 7 practitioners
Practice locations: Lake Charles, LA
O20040702000393 LA Part A Provider - Hospital 5799695839 5 other NPIs on this enrollment
Practice locations: Lake Charles, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629076468. Details of each certification follow.

Hospital certification: CCN 190027

Legal name
CHRISTUS HEALTH SOUTHWESTERN LOUISIANA
Doing business as
CHRISTUS OCHSNER ST PATRICK HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 27, 2025
Beds
230
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1921 in LA
Enrollment address
524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
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 3

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

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Christus Ochsner St Patrick HospitalCCN 190027 · 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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

753 Oak Grove Hwy
Grand Chenier, LA 70643
Phone (337) 542-4441

100 N Prater St
Lake Charles, LA 70601
Phone (337) 439-0880

2115 Fitzenreiter Rd
Lake Charles, LA 70601
Phone (337) 217-4890

2300 Medora St
Lake Charles, LA 70601
Phone (337) 437-3977

401 Dr Michael Debakey Dr
Fl 12
Lake Charles, LA 70601
Phone (337) 513-0004

4150 Nelson Rd
Bldg D
Lake Charles, LA 70605
Phone (337) 475-4020

4150 Nelson Rd
Ste D28
Lake Charles, LA 70605
Phone (337) 475-4020

710 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 433-3799

710 Ryan St
Lake Charles, LA 70601
Phone (337) 433-3799

711 S Ryan St
Lake Charles, LA 70601
Phone (337) 491-7072

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Matthew Block Individual Corporate DirectorBoard Member Jan 1, 2024
Christus Health Organization, Irving, TX Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Feb 1, 1999 60%
James F Davidson Individual Corporate OfficerPresident & Coo Feb 1, 2021
W-2 Managing EmployeePresident & Coo Feb 1, 2021
Charles D Daigle Individual Corporate DirectorBoard Member Jan 1, 2023
Ochsner Clinic Foundation Organization, New Orleans, LA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2018 40%
Dennis Stine Individual Corporate Director Sep 1, 2018
Sonia Acosta Individual Corporate DirectorCorporate Secretary Sep 16, 2024
Monte Wilson Individual Corporate OfficerCeo Oct 1, 2025
Corporate Director Oct 1, 2025
Nikki Martin Individual Corporate OfficerCfo Jun 22, 2021
Fadi V Nasrallah Individual Corporate DirectorBoard Member Feb 22, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 118

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

View all 118

Practitioners & affiliated clinicians

Practitioners 28

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 28

Affiliated clinicians 330

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

View all 330

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1629076468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846039",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846039",
            "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": "524 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015725",
            "telephone_number": "337-436-2511",
            "fax_number": "469-282-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS HEALTH SOUTHWESTERN LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-899-8191"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LOUSIANA",
            "identifier": "90027",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720241",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAID",
            "identifier": "119679202",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS 1500",
            "identifier": "11154",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS OCHSNER ST PATRICK HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.