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PED453315-18 CHRISTUS Children's (Active)
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Main Details
Name
CHRISTUS Children's
Subdivision Name
Stone Oak Respiratory Therapy - Clinic
Type
Children's Hospital
Rural
No
340B ID
PED453315-18
Medicare Provider Number
453315
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/16/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/30/2023
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
CHRISTUS Santa Rosa
Steve Chen, CFO
(210) 321-8031
Primary Contact
CHRISTUS Santa Rosa Health System
Dustyn Tysdal, REGIONAL DIRECTOR OF PHARMACY
(210) 704-0130
Addresses
Street Address
1434 E. Sonterra Blvd.
Suite 300
San Antonio, TX 78258
Billing Address
CHRISTUS Children's
333 North Santa Rosa Street
San Antonio, TX 78207
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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