Provider Demographics
NPI:1194787218
Name:CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Entity type:Organization
Organization Name:CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-704-3336
Mailing Address - Street 1:PO BOX 846131
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6131
Mailing Address - Country:US
Mailing Address - Phone:800-756-7999
Mailing Address - Fax:469-282-1791
Practice Address - Street 1:11212 STATE HIGHWAY 151 BLDG 3
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4498
Practice Address - Country:US
Practice Address - Phone:210-703-8000
Practice Address - Fax:210-647-4836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA1903X
TX000339282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1013OtherCOMMUNITY FIRST RN
TX6548210OtherAETNA RD
TXH04980OtherOXFORD HEALTH PLAN
TX1012RDOtherCOMMUNITY FIRST STAR RD
TX7885153OtherAETNA RN
TX0000OtherTRICARE FOR LIFE RN
TX1012OtherCOMMUNITY FIRST
TX175884200OtherUS DEPT. OF LABOR
TXA7829101OtherJOHN DEERE
TX1013RNOtherCOMMUNITY FIRST STAR RN
TX0003OtherTRICARE FOR LIFE RD
TX909665OtherCONNECTICARE
TX020844901Medicaid
TX1012RDOtherCOMMUNITY FIRST STAR RD
TX6548210OtherAETNA RD
450237Medicare UPIN