Christus Good Shepherd Medical Center

LBN: Christus Good Shepherd Medical Center
Christus Good Shepherd Medical Center is an health care organization with primary practice located at 700 E Marshall Ave , Longview TX 75601-5580. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Rehabilitation Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Christus Good Shepherd Medical Center can be contacted via phone (903) 315-2000, or through Hancock, Norman Todd via phone (903) 315-4000.

Contact Information

Primary practice address
700 E Marshall Ave Longview TX 75601-5580
Phone: (903) 315-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hancock, Norman Todd
Phone: (903) 315-4000

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation Unit 273Y00000X Texas
Hospitals / General Acute Care Hospital 282N00000X Texas

Profile Details

NPI number 1124092036
LBN Legal business name Christus Good Shepherd Medical Center
DBA Doing business as
Authorized official Hancock, Norman Todd
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 15th, 2006
Last updated Jul 31st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124092036 NPPES
Texas Other 022479201 TMHP ASC HASC
Texas MEDICAID 112667403 TMHP ASC HASC
Texas MEDICAID 112667406 TMHP ASC HASC
Texas MEDICAID 112667408 TMHP ASC HASC
Texas MEDICAID 112667407 TMHP ASC HASC
Texas MEDICAID 112667405 TMHP ASC HASC
Texas MEDICAID 112667404 TMHP ASC HASC

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