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DSH450237BB SANTA ROSA HEALTHCARE (Terminated)
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Main Details
Name
SANTA ROSA HEALTHCARE
Subdivision Name
CHRISTUS SANTA ROSA HOSPITAL Observation Beds / Intermd Cre-Gen
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450237BB
Medicare Provider Number
450237
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/21/2015
Last Recertification Date
8/31/2016
Termination Date
Termination Reason
1/1/2017
DSH percentage below statutory minimum
Contacts
Authorizing Official
The Children's Hospital of San Antonio
Linda Kirks, Regional VP/CFO
(210) 704-2624
Primary Contact
CHRISTUS Santa Rosa Health System
Dustyn Tysdal, REGIONAL DIRECTOR OF PHARMACY
(210) 704-0130
Addresses
Street Address
600 N UNION AVE
CHRISTUS SANTA ROSA HOSPITAL - NEW BRAUNFELS
NEW BRAUNFELS, TX 78130-4194
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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