NPIMap

Organization Active NPI

Governor Juan F. Luis Hospital & Medical Center

  • General Acute Care Hospital
  • Christiansted, St. Croix, VI
National Provider Identifier
1972503647
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
GOVERNOR JUAN F. LUIS HOSPITAL & MEDICAL CENTER
Practice address
#4007 Estate Diamond Ruby
Christiansted, St. Croix, VI 00821-4421
Phone
(340) 778-6311
Fax
(340) 772-7357
NPI assigned
Jul 26, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Gregory J. Calliste, PHD,FACHE
Title
Chief Executive Officer
Phone
(340) 778-6311

Specialties & licenses 1

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

Addresses

Primary practice location

#4007 Estate Diamond Ruby
Christiansted, St. Croix, VI 00821-4421

Mailing address

#4007 Estate Diamond Ruby
Christiansted, St. Croix, VI 00821-4421
Phone (340) 778-6311

Other identifiers 1

IdentifierTypeStateIssuer
47460MedicaidVI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031103000177 VI Part A Provider - Hospital 1153233804 Practice locations: Christiansted, VI
O20070515000578 VI Part B Supplier - Clinic/Group Practice 1153233804 Receives reassigned benefits from 331 practitioners
Practice locations: Christiansted, VI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972503647. Details of each certification follow.

Hospital certification: CCN 480002

Legal name
GOVERNOR JUAN F LUIS HOSPITAL & MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 27, 2020
Beds
160
Ownership / control type
State
Organization structure
CorporationNon-profit
Enrollment address
#4007 Estate Diamond Ruby
Christiansted, VI 8204421
Main/Primary Hospital Location
Hospital subgroups
Acute care, Specialty hospital

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Gov Juan F Luis Hospital & Medical CtrCCN 480002 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Darlene Baptiste Individual Corporate OfficerCeo Feb 5, 2025 100%
W-2 Managing EmployeeCeo Feb 5, 2025 100%

Practitioners & affiliated clinicians

Practitioners 345

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 345

Affiliated clinicians 97

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

View all 97

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972503647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#4007 ESTATE DIAMOND RUBY",
            "city": "CHRISTIANSTED, ST. CROIX",
            "state": "VI",
            "postal_code": "008214421",
            "telephone_number": "340-778-6311",
            "fax_number": "340-772-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#4007 ESTATE DIAMOND RUBY",
            "city": "CHRISTIANSTED, ST. CROIX",
            "state": "VI",
            "postal_code": "008214421",
            "telephone_number": "340-778-6311",
            "fax_number": "340-772-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVERNOR JUAN F. LUIS HOSPITAL & MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALLISTE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "340-778-6311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD,FACHE"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47460",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, St. Croix, VI

Sources for this page

Verify at the official NPI Registry.