Organization
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Active
Parent organization
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Other names
Childrens Hospital of San Antonio
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHRISTUS SANTA ROSA HEALTH CARE CORPORATION
Authorized official
CRIS DASKEVICH (CEO)
(210) 704-4899
Entity
Organization
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3907
(210) 704-3758
Mailing address
PO BOX 846131, DALLAS, TX 75284-6131
(800) 756-7999
(469) 282-1791
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
000339
TX
273Y00000X
Rehabilitation Hospital Unit
000339
TX
282N00000X
General Acute Care Hospital
000339
TX
282NC2000X
Children's Hospital
Primary
000339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007
TRICARE FOR LIFE
TX
01
—
094356502
AMERICAID
TX
01
—
1011
COMMUNITY FIRST
TX
01
—
1011RC
COMMUNITY FIRST STAR
TX
01
—
38224
HEALTH ALLIANCE PLAN
TX
01
—
6542420
AETNA
TX
01
—
909665
CONNECTICARE
TX
01
—
A7829101
JOHN DEERE
TX
01
—
H04980
OXFORD HEALTH PLAN
TX
01
—
HH0884
BLUE CROSS
TX
Enumeration date
07/31/2006
Last updated
08/18/2022
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