340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC450237-52 CHRISTUS SANTA ROSA HEALTH SYSTEM (Terminated)
Print
Main Details
Name
CHRISTUS SANTA ROSA HEALTH SYSTEM
Subdivision Name
ECC OB ED Unit at Santa Rosa Hospital Westover Hills - ED
Type
Rural Referral Center
Rural
No
340B ID
RRC450237-52
Medicare Provider Number
450237
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/5/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/7/2022
Last Recertification Date
Termination Date
Termination Reason
7/1/2023
Change of covered entity type
Contacts
Authorizing Official
CHRISTUS Santa Rosa
Steve Chen, CFO
(210) 321-8031
Primary Contact
CHRISTUS Hospital Santa Rosa Medical Center
Emmanuel Aniemeke, Director of Pharmacy Services
(210) 705-6193
Addresses
Street Address
11212 STATE HIGHWAY 151
BLDG 3
SAN ANTONIO, TX 78251
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session