Organization
CHRISTUS HEALTH ARK-LA-TEX
Active
Other names
CHRISTUS St Michael Rehabilitation Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MATTHEW ADAMS (PRESIDENT)
(903) 614-2001
Entity
Organization
Contact information
Practice address
2400 SAINT MICHAEL DR, TEXARKANA, TX 75503-2374
(903) 614-4000
(903) 614-8463
Mailing address
2400 SAINT MICHAEL DR, TEXARKANA, TX 75503-2374
(903) 614-4000
(903) 614-8463
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
283X00000X
Rehabilitation Hospital
000713
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094353202
—
TX
05
—
100703010A
—
OK
01
—
10522
BLUE CROSS
AR
05
—
146092126
—
AR
01
—
34337
BLUE CROSS
LA
01
—
75504-0000
CHAMPUS
—
01
—
HH0896
BLUE CROSS
TX
Enumeration date
08/09/2005
Last updated
07/09/2022
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