Organization
CHRISTUS HEALTH ARK-LA-TEX
Active
Other names
CHRISTUS St. Michael Health System
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MATTHEW ADAMS (PRESIDENT)
(702) 738-4546
Entity
Organization
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-2019
(903) 614-2212
Mailing address
PO BOX 848024, DALLAS, TX 75284-8024
(800) 756-7999
(469) 282-1999
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
000788
TX
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00410737X
—
GA
05
—
013954607
—
MO
05
—
020976901
—
TX
05
—
094644402
—
TX
01
—
10063
BLUE CROSS
AR
05
—
100703010C
—
OK
05
—
146008105
—
AR
05
—
1733229
—
LA
05
—
56148
—
TX
01
—
75503-0000
CHAMPUS
—
01
—
770010605
BREAST CARE
AR
05
—
8149704
—
NJ
01
—
86487
BLUE CROSS
LA
01
—
HH0902
BLUE CROSS
TX
Enumeration date
08/09/2005
Last updated
05/25/2022
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