MEDICARE: CHRISTUS SANTA ROSA HEALTH CARE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center
2	282N00000X	General Acute Care Hospital	000339	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1013	OTHER	TX	COMMUNITY FIRST RN
2	6548210	OTHER	TX	AETNA RD
3	H04980	OTHER	TX	OXFORD HEALTH PLAN
4	1012RD	OTHER	TX	COMMUNITY FIRST STAR RD
5	7885153	OTHER	TX	AETNA RN
6	0000	OTHER	TX	TRICARE FOR LIFE RN
7	1012	OTHER	TX	COMMUNITY FIRST
8	175884200	OTHER	TX	US DEPT. OF LABOR
9	A7829101	OTHER	TX	JOHN DEERE
10	1013RN	OTHER	TX	COMMUNITY FIRST STAR RN
11	0003	OTHER	TX	TRICARE FOR LIFE RD
12	909665	OTHER	TX	CONNECTICARE

General Provider Information

NPI Number	:	1194787218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTUS SANTA ROSA HEALTH CARE CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 846131
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-6131
Country	:	US
Telephone Number	:	800-756-7999
Fax Number	:	469-282-1791

Provider Business Practice Location Address
First Line	:	11212 STATE HIGHWAY 151 BLDG 3
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4498
Country	:	US
Telephone Number	:	210-703-8000
Fax Number	:	210-647-4836

Authorized Official
Title or Position	:	CFO
Name	:	STEVEN CHEN
Credential	:
Telephone Number	:	210-704-3336

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	07/07/2025

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Directions to “CHRISTUS SANTA ROSA HEALTH CARE CORPORATION ” Practice Location

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