Driscoll Children's Hospital

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

008106 Issued in TX

Legal business name

DRISCOLL CHILDREN'S HOSPITAL

Practice address

3533 S. Alameda
Corpus Christi, TX 78411-1721

Phone

(361) 694-5000

Fax

(361) 808-2089

NPI assigned

Aug 5, 2008

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Eric Hamon

Title

Cfo

Phone

(361) 694-4602

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 2

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

• Driscoll Children's Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • McAllen, TX
  • NPI 1689067910

  O20140725001013

  Same enrollment
• Driscoll Childrens Hospital

  • Children's Hospital
  • Corpus Christi, TX
  • NPI 1548286172

  O20050216000027

  Same enrollment

Listed as

Driscoll Children's Hospital Dialysis UnitCCN 452380

Ownership

Non-profit

Certified

Apr 8, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

5

Locations

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1861658205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 S. ALAMEDA",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5000",
            "fax_number": "361-808-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 S. ALAMEDA",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5000",
            "fax_number": "361-808-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRISCOLL CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "HAMON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "361-694-4602"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "008106",
            "primary": true
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "110249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESRD -TRADITIONAL MEDICAID",
            "identifier": "132812208",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689067910",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESRD -MEDICAID CSHCN",
            "identifier": "132812209",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Driscoll Children's Hospital
• Driscoll Children's Hospital
• Driscoll Children's Hospital (Driscoll Health Pharmacy)
• Driscoll Children's Hospital
• Driscoll Children's Hospital
• Driscoll Childrens Hospital
• Driscoll Maternal & Fetal Physicians Group
• Driscoll Maternal & Fetal Physicians Group
• Driscoll Maternal & Fetal Physicians Group
• Driscoll Physicians Group

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.