Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
General Acute Care Hospital |
282N00000X | A0[7] | Hospital-General | |
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Rehabilitation Unit |
273Y00000X | A0[7] | Hospital-Rehabilitation Unit |
| NPI # | 1821004151 |
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| LBN Legal business name | CHRISTUS SANTA ROSA HEALTH CARE CORPORATION | ||||||||||||||||||||||||||||||||||||||||||||
| Authorized official | CRIS DASKEVICH - (CEO) | ||||||||||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||||||||||||||||||||||||||
| Enumeration date | 07/31/2006 | ||||||||||||||||||||||||||||||||||||||||||||
| Last updated | 08/18/2022 - About 4 years ago | ||||||||||||||||||||||||||||||||||||||||||||
| Identifiers |
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