# CHRISTUS GOOD SHEPHERD MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHRISTUS HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124092036
- **Legal business name:** CHRISTUS HEALTH
- **Authorized official:** NORMAN TODD HANCOCK (CEO)
- **Authorized official phone:** (903) 315-4000

## Contact information

- **Practice address:** 700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
- **Practice address phone:** (903) 315-2000
- **Mailing address:** PO BOX 732041, DALLAS, TX 75373-2041
- **Mailing address phone:** (903) 315-2000
- **Mailing address fax:** (903) 315-2643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 273Y00000X | Rehabilitation Hospital Unit | — | TX | — |
| 282N00000X | General Acute Care Hospital | — | TX | Yes |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 11/12/2024