340B Drug Pricing Program Database


DSH450015P DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH (Active) - information as of 4/23/2025 10:54:29 PM

Main Details
DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH
Comprehensive Breast Center/Mammography
Disproportionate Share Hospital
Yes
DSH450015P
450015


Additional Details
Active
7/15/2013
10/1/2013
9/11/2013
8/22/2024

Contacts

Parkland Health
Vivian B. Johnson, Senior Vice President
(469) 419-1946

Parkland Health
Mayank Shah, Pharmacy 340B Program Manager
(469) 419-1964

Addresses

5151 Maple Avenue
Dallas, TX 75235

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
TX 1326442419,1932123247
Shipping Addresses

Parkland - Anderson Clinic Bldg
5184 Tex Oak Avenue
Dallas, TX 75235

Parkland - Central Fill
2121 Butler St
Dallas, TX 75235

Parkland – Moody Outpatient Clinic Building
5151 Maple Avenue
Dallas, TX 75235

Dallas County Hospital District dba Parkland Health
5200 Harry Hines Blvd
Dallas, TX 75235

Parkland – Logistics Building
5223 Tex Oak Avenue
Dallas, TX 75235

Parkland – Central Warehouse
10880 Goodnight Ln
Dallas, TX 75220
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH450015AChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHBluitt-Flowers Health Center303 E. Overton RdDallasTXActive
DSH450015AAChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMSMA Youth & Family Center9202 Elam RoadDallasTXTerminated
DSH450015ABChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMWilmer-Hutchins Youth & Family Center5520 Langdon RoadDallasTXTerminated
DSH450015ACChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMWhite Rock/Amelia Flores Youth & Family Center9941 Lingo LaneDallasTXTerminated
DSH450015ADChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMWest Dallas Youth & Family Center2200 Dennison StDallasTXTerminated
DSH450015AEChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHVivian Field Youth & Family Center13551 Dennis LaneFarmers BranchTXActive
DSH450015AFChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHSeagoville Youth & Family Center15800 Seagoville RoadDallasTXTerminated
DSH450015AGChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMRedbird Youth & Family3803 Boulder DrDallasTXTerminated
DSH450015AHChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHAdamson Youth & Family201 E. Ninth StreetDallasTXTerminated
DSH450015AJChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMKiosco Youth & Family Center10034 Hedgeway DrDallasTXTerminated
DSH450015AKChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMEddie B. Johnson at Billy Earl Dade YFC2727 Al Lipscomb WayDallasTXTerminated
DSH450015ALChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHEmployee Health Center5151 Maple AvenueDallasTXActive
DSH450015AMChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHParkland Behavioral Health Center (Psychiatry Clinic)5151 Maple AvenueDallasTXActive
DSH450015ANChildDSHDallas County Hospital District dba Parkland Health & Hospital SystemStewpot1822 Young StreetDallasTXTerminated
DSH450015APChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHCardiology Group5184 Tex Oak AvenueDallasTXActive
DSH450015AQChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHInternal Medicine (PCIM) Clinic5151 Maple AvenueDallasTXActive
DSH450015ARChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHNon-Invasive Cardiology5184 Tex Oak AvenueDallasTXActive
DSH450015ASChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHCardiac Rehab5184 Tex Oak AvenueDallasTXActive
DSH450015ATChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHEEG Clinic1341 West Mockingbird Lane, Suite 300EDallasTXActive
DSH450015AUChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMApheresis5200 Harry Hines BlvdDallasTXTerminated
DSH450015AVChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHDerm/Surgical Specialty/PM&R Clinics5184 Tex Oak AvenueDallasTXActive
DSH450015AWChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHENT Clinics5184 Tex Oak AvenueDallasTXActive
DSH450015AXChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHASC - Ortho, Pain, Plastics4900 Harry Hines BlvdDallasTXActive
DSH450015AYChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHEpilepsy Outreach/Neurology5184 Tex Oak AvenueDallasTXActive
DSH450015AZChildDSHDALLAS CO. HOSP. DIST.Chronic Kidney Disease5201 Harry Hines Blvd.DallasTXTerminated
DSH450015BChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHHatcher Station Health Center4600 Scyene RoadDallasTXActive
DSH450015BAChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHUrology Clinic5184 Tex Oak AvenueDallasTXActive
DSH450015BBChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHInfusion Therapy Clinic5151 Maple AvenueDallasTXActive
DSH450015BCChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMRadiation Oncology Clinic5151 Maple AvenueDallasTXTerminated
DSH450015BDChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOncology Clinic5151 Maple AvenueDallasTXActive
DSH450015BEChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHPalliative Care Clinic5151 Maple AvenueDallasTXActive
DSH450015BFChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOphthalmology Clinic5151 Maple AvenueDallasTXActive
DSH450015BGChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMedicine Specialty Group5184 Tex Oak AvenueDallasTXActive
DSH450015BHChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHTransplant Services/Kidney Acquisition Clinic5184 Tex Oak AvenueDallasTXActive
DSH450015BJChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHRenal Services Group5184 Tex Oak AvenueDallasTXActive
DSH450015BKChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHAnderson MRI5184 Tex Oak AvenueDallasTXActive
DSH450015BLChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHPhysical Therapy Outpatient5151 Maple AvenueDallasTXActive
DSH450015BMChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHAcute Response Clinic Bachman3701 W. Northwest Hwy, Suite 180DallasTXActive
DSH450015BNChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHAcute Response Clinic Wynnewood655 West Illinois Avenue, Suite 725DallasTXActive
DSH450015BPChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHAcute Response Clinic Garland802 Hopkins StGarlandTXApproved
DSH450015BQChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMAcute Response Clinic - Elmbrook303 E. Overton RdDallasTXTerminated
DSH450015BRChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHNeurology Group5184 Tex Oak AvenueDallasTXActive
DSH450015BSChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGlobal Diabetes5151 Maple AvenueDallasTXActive
DSH450015BTChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOral Surgery/Dental5151 Maple AvenueDallasTXActive
DSH450015BUChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMPhysical Medicine & Rehab5184 Tex Oak AvenueDallasTXTerminated
DSH450015BVChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHHatcher Station Women's Health Center4600 Scyene RdDallasTXActive
DSH450015BWChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMaple Women's Health Center5151 Maple AvenueDallasTXActive
DSH450015BXChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOak West Women's Health Center4201 Brook Spring DrDallasTXActive
DSH450015BYChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHSoutheast Dallas Women's Health Center9202 Elam RdDallasTXActive
DSH450015BZChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHLake West Women's Health Center3737 Goldman StDallasTXActive
DSH450015CAChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHdeHaro Saldivar Women's Health Center1400 N. Westmoreland RdDallasTXActive
DSH450015CBChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHIrving Women's Health Center1800 N. Britain RdIrvingTXActive
DSH450015CCChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGrand Prairie (E. Carlyle Smith, Jr.) Women's Health Center801 Conover DrGrand PrairieTXActive
DSH450015CDChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGarland Women's Health Center601 Clara Barton BlvdGarlandTXActive
DSH450015CEChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHInfectious Disease/Outpatient Parenteral Antimicrobial Therapy (OPAT)5151 Maple AvenueDallasTXActive
DSH450015CFChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHAnderson- Radiology, Diagnostic5184 Tex Oak AvenueDallasTXActive
DSH450015CGChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHAnderson-Radiology,Sonography/Ultrasound5184 Tex Oak AvenueDallasTXActive
DSH450015CHChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHAnderson-Radiology, CT scan5184 Tex Oak AvenueDallasTXActive
DSH450015CJChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHSpeech Therapy - Outpatient5184 Tex Oak AvenueDallasTXActive
DSH450015CKChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHVickery Women's Health Center8224 Park Lane, Suite 130DallasTXActive
DSH450015CLChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMGYN Expansion Clinic - Southeast9202 Elam RdDallasTXTerminated
DSH450015CMChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGYN Expansion Clinic - Oak West4201 Brook Spring DrDallasTXActive
DSH450015CNChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGYN Expansion Clinic - Lake West3737 Goldman StDallasTXTerminated
DSH450015CPChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMGYN Expansion Clinic - Irving1800 N. Britain RdIrvingTXTerminated
DSH450015CQChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGYN Expansion Clinic - Garland601 Clara Barton BlvdGarlandTXActive
DSH450015CRChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGYN Expansion Clinic - Hatcher4600 Scyene RdDallasTXActive
DSH450015CSChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGYN Expansion Clinic - Deharo1400 N. Westmoreland RdDallasTXActive
DSH450015CTChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGynecology Infusion Services - WISH Outpatient5200 Harry Hines BlvdDallasTXActive
DSH450015CUChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHRadiology Procedures Clinic5184 Tex Oak AvenueDallasTXActive
DSH450015CVChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHHIV (ACCESS) Clinic - Bluitt Flowers COPC303 E. Overton RdDallasTXActive
DSH450015CWChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMHIV Clinic - Women's Specialty9202 Elam RdDallasTXTerminated
DSH450015CXChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMHIV Clinic - DeHaro Saldivar COPC1400 N. Westmoreland RdDallasTXTerminated
DSH450015CYChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHHIV (ACCESS) Clinic - Southeast COPC9202 Elam RdDallasTXActive
DSH450015CZChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHSenior House Calls2231 Butler St, Suite 150DallasTXActive
DSH450015DChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHCOPC Southeast Campus9202 Elam RdDallasTXActive
DSH450015DAChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHDiabetes Clinic - Hatcher Station4600 Scyene RoadDallasTXActive
DSH450015DBChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHComprehensive Wound Care Center5151 Maple AvenueDallasTXActive
DSH450015DCChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGarland Health Center - Pediatrics601 Clara Barton BlvdGarlandTXActive
DSH450015DDChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHComprehensive Breast Center (Moody) - MRI5151 Maple AvenueDallasTXActive
DSH450015DEChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHSleep Center1341 West Mockingbird Lane, Suite 300EDallasTXActive
DSH450015DFChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHIntegrated Pain Management Program5151 Maple AvenueDallasTXActive
DSH450015DGChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHVirtual Care5151 Maple AvenueDallasTXActive
DSH450015DHChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHPeritoneal Dialysis4201 Brook Spring Dr, Building IIDallasTXActive
DSH450015DJChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHClinical Specialist Services/Drug Allergy Testing Clinic5184 Tex Oak AvenueDallasTXActive
DSH450015DKChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHNeurology/Epilepsy Outreach - Bluitt Flowers303 E. Overton RdDallasTXActive
DSH450015DLChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHC.V. Roman (a.k.a. RedBird) Health Center3560 W. Camp Wisdom Rd, Suite 100DallasTXActive
DSH450015DMChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHNeurology/Epilepsy Outreach - Garland802 Hopkins StGarlandTXActive
DSH450015DNChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHNeurology/Epilepsy Outreach - Southeast9202 Elam RdDallasTXActive
DSH450015DPChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHNeurology/Epilepsy Outreach - Irving1800 N. Britain RdIrvingTXActive
DSH450015DQChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHNeurology/Epilepsy Outreach - Hatcher4600 Scyene RoadDallasTXActive
DSH450015DRChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHPulmonary Lab5184 Tex Oak AvenueDallasTXActive
DSH450015DSChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHCOVID Outpatient Follow Up Clinic5184 Tex Oak AvenueDallasTXTerminated
DSH450015DTChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHExpanding Maternal Care After Pregnancy (eMCAP) - mobile medical clinic5200 Harry Hines BlvdDallasTXActive
DSH450015DUChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHC.V. Roman (a.k.a. RedBird) Women's Health Center3560 W. Camp Wisdom Rd, Suite 100DallasTXActive
DSH450015DVChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHJubilee Community Clinic820 Ann AvenueDallasTXActive
DSH450015DWChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Maple WHC5151 Maple AvenueDallasTXActive
DSH450015DXChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Oncology5151 Maple AvenueDallasTXActive
DSH450015DYChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Diabetes5151 Maple AvenueDallasTXActive
DSH450015DZChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - ACCESS/HIV5151 Maple AvenueDallasTXActive
DSH450015EChildDSHDALLAS COUNTY HOSPITAL DISTRICT, PARKLAND HEALTH AND HOSPITAL SYSTEMPARKLAND OUTPATIENT CENTER4917 HARRY HINES BLVD.DALLASTXTerminated
DSH450015EAChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Internal Medicine5151 Maple AvenueDallasTXActive
DSH450015EBChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Integrated Pain5151 Maple AvenueDallasTXActive
DSH450015ECChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Garland802 Hopkins StGarlandTXActive
DSH450015EDChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Geriatrics2231 Butler St, Suite 150DallasTXActive
DSH450015EEChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Garland Pediatrics601 Clara Barton Blvd, Suite 200GarlandTXActive
DSH450015EFChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Lake West3737 Goldman StDallasTXActive
DSH450015EGChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - ASC4900 Harry Hines BlvdDallasTXActive
DSH450015EHChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Oak West4201 Brook Spring DrDallasTXActive
DSH450015EJChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Bluitt Flowers303 E. Overton RdDallasTXActive
DSH450015EKChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Grand Prairie (E. Carlyle Smith, Jr.)801 Conover DrGrand PrairieTXActive
DSH450015ELChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Irving1800 N. Britain RdIrvingTXActive
DSH450015EMChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Hatcher4600 Scyene RoadDallasTXActive
DSH450015ENChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - Southeast9202 Elam RdDallasTXActive
DSH450015EPChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - C.V. Roman3560 W. Camp Wisdom Rd, Suite 100DallasTXActive
DSH450015EQChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic - deHaro-Saldivar1400 N. Westmoreland RdDallasTXActive
DSH450015ERChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOptometry Clinic - Southeast9202 Elam RdDallasTXActive
DSH450015ESChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOptometry Clinic - Hatcher4600 Scyene RoadDallasTXActive
DSH450015ETChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOptometry Clinic - Garland802 Hopkins StGarlandTXActive
DSH450015EUChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOptometry Clinic - Bluitt Flowers303 E. Overton RdDallasTXActive
DSH450015EVChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOptometry Clinic - Irving1800 N. Britain RdIrvingTXActive
DSH450015EWChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOptometry Clinic - C.V. Roman3560 W. Camp Wisdom Rd, Suite 100DallasTXActive
DSH450015EXChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHSports Medicine – C.V. Roman3560 W. Camp Wisdom Rd, Suite 100DallasTXActive
DSH450015EYChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMedicine Specialty - Southeast GI/Liver9202 Elam RdDallasTXActive
DSH450015EZChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMedicine Specialty - Irving GI/Liver1800 N. Britain RdIrvingTXActive
DSH450015FAChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMedicine Specialty - Hatcher GI/Liver4600 Scyene RoadDallasTXActive
DSH450015FBChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMedicine Specialty - Garland GI/Liver802 Hopkins StGarlandTXActive
DSH450015FCChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMedicine Specialty - C.V. Roman GI/Liver3560 W. Camp Wisdom Rd, Suite 100DallasTXActive
DSH450015FDChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHEpilepsy Clinic – C.V. Roman3560 W. Camp Wisdom Rd, Suite 100DallasTXActive
DSH450015FEChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHDiabetes Clinic – Grand Prairie (E. Carlyle Smith, Jr.)801 Conover DrGrand PrairieTXActive
DSH450015FFChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHDiabetes Clinic - Garland802 Hopkins StGarlandTXActive
DSH450015FGChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHDiabetes Clinic – C.V. Roman3560 W. Camp Wisdom Rd, Suite 100DallasTXActive
DSH450015FHChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHDevelopmental and Cognitive Clinic (DCC)Parkland – Anderson Clinic BldgDallasTXActive
DSH450015FJChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHAcute Response Clinic - Vickery8224 Park Lane, Suite 130DallasTXActive
DSH450015FKChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHMental Health Clinic – Sleep Center1341 West Mockingbird Lane, Suite 300EDallasTXActive
DSH450015FLChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHParkland Health - Acute Response Clinic - Southeast9202 Elam RdDallasTXApproved
DSH450015FMChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHParkland Health - Acute Response Clinic - C.V. Roman3560 W. Camp Wisdom Rd, Suite 100DallasTXApproved
DSH450015FNChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHParkland Health - Neurology/Epilepsy Outreach - Grand Prairie801 Conover DrGrand PrairieTXApproved
DSH450015FPChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHParkland Health - Mental Health Clinic - Vickery8224 Park Lane, Suite 130DallasTXApproved
DSH450015FQChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHParkland Health - PM&R Clinic - Hatcher4600 Scyene RoadDallasTXApproved
DSH450015FRChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHParkland Health - Mental Health Clinic - Palliative Care5151 Maple AvenueDallasTXApproved
DSH450015FSChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHParkland Health - PM&R Clinic - C.V. Roman3560 W. Camp Wisdom Rd, Suite 100DallasTXApproved
DSH450015FTChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHParkland Health - PM&R Clinic - Southeast9202 Elam RdDallasTXApproved
DSH450015GChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHHIV (ACCESS) Clinic5151 Maple AvenueDallasTXActive
DSH450015HChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHdeHaro-Saldivar Health Center1400 N. Westmoreland RdDallasTXActive
DSH450015IChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGarland Health Center802 Hopkins StGarlandTXActive
DSH450015JChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHSimmons Ambulatory Surgery Center4900 Harry Hines BlvdDallasTXActive
DSH450015KChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHClinics at the Dallas County Jail / Lew Sterrett Justice Center111 Commerce StDallasTXActive
DSH450015LChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHIrving Health Center1800 N. Britain RdIrvingTXActive
DSH450015MChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGrand Prairie (E. Carlyle Smith, Jr.) Health Center801 Conover DrGrand PrairieTXActive
DSH450015NChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHGeriatrics Center2231 Butler St, Suite 150DallasTXActive
DSH450015PChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHComprehensive Breast Center/Mammography5151 Maple AvenueDallasTXActive
DSH450015QChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHParkland Family Practice (Medicine) Clinic7920 Elmbrook Drive, Suite 120DallasTXActive
DSH450015RChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMWoodrow Long Youth & Family Center6006 Reiger AveDallasTXTerminated
DSH450015TChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHPediatric Primary Care Center5151 Maple AvenueDallasTXActive
DSH450015UChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHVickery Health Center8224 Park Lane, Suite 130DallasTXActive
DSH450015VChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHOak West Health Center4201 Brook Spring DrDallasTXActive
DSH450015WChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHFair Oaks Youth & Family Center7502 Fair Oaks AveDallasTXTerminated
DSH450015XChildDSHDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTHBalch Springs Youth & Family Center710 Cheyenne RdDallasTXTerminated
DSH450015YChildDSHDallas County Hospital District dba Parkland Health & Hospital SystemHomeless Outreach Medical Service4811 Harry Hines Blvd.DallasTXTerminated
DSH450015ZChildDSHDallas County Hospital District dba Parkland Health & Hospital SystemThe Bridge Homeless Shelter1818 Corsicana StreetDallasTXTerminated
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesShipping AddressInsertGroup Change Request Parkland – Logistics Building 5223 Tex Oak Avenue Dallas, TX 752353/7/2025 7:06 AM
AddressesShipping AddressInsertGroup Change Request Parkland – Central Warehouse 10880 Goodnight Ln Dallas, TX 752203/7/2025 7:06 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestJohnson, Vivian B. Senior Vice President, Clinical Services Parkland Health and Hospital System 4694191946Johnson, Vivian B. Senior Vice President Parkland Health 46941919469/9/2024 2:39 PM
ContactsPrimary ContactUpdateProfile Change RequestShah, Mayank Pharmacy 340B Program Manager Parkland Hospital 4694191964Shah, Mayank Pharmacy 340B Program Manager Parkland Health 46941919649/4/2024 8:05 PM
DetailsLast Recertification DateUpdateRecertification8/26/2023 2:47:44 PM8/22/2024 1:24:05 PM8/22/2024 1:24 PM
DetailsEntity NameUpdateRecertificationDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEMDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH9/1/2023 6:52 AM
AddressesShipping AddressDeleteRecertificationDallas County Hospital District dba Parkland Health and Hospital System 5200 Harry Hines Blvd Dallas, TX 75235 8/26/2023 2:47 PM
AddressesShipping AddressInsertRecertification Dallas County Hospital District dba Parkland Health 5200 Harry Hines Blvd Dallas, TX 752358/26/2023 2:47 PM
DetailsLast Recertification DateUpdateRecertification9/7/2022 4:11:20 PM8/26/2023 2:47:44 PM8/26/2023 2:47 PM
AddressesShipping AddressDeleteRecertificationDallas County Hospital District dba Parkland Health and Hospital System 5201 Harry Hines Blvd Dallas, TX 75235 9/7/2022 4:11 PM
DetailsLast Recertification DateUpdateRecertification8/26/2021 12:13:14 PM9/7/2022 4:11:20 PM9/7/2022 4:11 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestJohnson, Vivian B. VP Pharmacy Services Parkland Health and Hospital System 4694191946Johnson, Vivian B. Senior Vice President, Clinical Services Parkland Health and Hospital System 46941919468/23/2022 7:44 AM
ContactsPrimary ContactUpdateProfile Change RequestShah, Mayank Pharmacy 340B Program Supervisor Parkland Hospital 4694191964Shah, Mayank Pharmacy 340B Program Manager Parkland Hospital 46941919648/12/2022 4:33 PM
DetailsLast Recertification DateUpdateRecertification8/27/2020 5:28:54 PM8/26/2021 12:13:14 PM8/26/2021 12:13 PM
DetailsEntity SubnameUpdateRecertificationComprehensive Breast CenterComprehensive Breast Center/Mammography8/26/2021 12:13 PM
AddressesShipping AddressInsertChange Request Parkland – Moody Outpatient Clinic Building 5151 Maple Avenue Dallas, TX 752353/8/2021 8:15 AM
AddressesMain AddressUpdateChange Request 5701 Maple Avenue, Suite 300 Dallas, TX 75235 5151 Maple Avenue Dallas, TX 752353/8/2021 8:15 AM
Medicaid BillingNPI: NumberInsertChange Request 193212324712/14/2020 9:54 PM
Medicaid BillingNPI: StateInsertChange Request TX12/14/2020 9:54 PM
Medicaid BillingNPI: StateUpdateRecertification TX8/27/2020 5:28 PM
DetailsLast Recertification DateUpdateRecertification9/13/2019 2:50:03 PM8/27/2020 5:28:54 PM8/27/2020 5:28 PM
DetailsLast Recertification DateUpdateRecertification9/3/2018 9:42:24 AM9/13/2019 2:50:03 PM9/13/2019 2:50 PM
AddressesShipping AddressDeleteRecertificationParkland - Central Fill 2121 Butler St. Dallas, TX 75235 9/3/2018 9:42 AM
AddressesShipping AddressInsertRecertification Parkland - Central Fill 2121 Butler St Dallas, TX 752359/3/2018 9:42 AM
DetailsLast Recertification DateUpdateRecertification11/17/2017 3:14:44 PM9/3/2018 9:42:24 AM9/3/2018 9:42 AM
AddressesShipping AddressInsertRecertification Dallas County Hospital District dba Parkland Health and Hospital System 5200 Harry Hines Blvd Dallas, TX 7523511/17/2017 3:14 PM
AddressesShipping AddressInsertRecertification Dallas County Hospital District dba Parkland Health and Hospital System 5201 Harry Hines Blvd Dallas, TX 7523511/17/2017 3:14 PM
AddressesShipping AddressInsertRecertification Parkland - Anderson Clinic Bldg 5184 Tex Oak Avenue Dallas, TX 7523511/17/2017 3:14 PM
AddressesShipping AddressInsertRecertification Parkland - Central Fill 2121 Butler St. Dallas, TX 7523511/17/2017 3:14 PM
AddressesMain AddressUpdateRecertification 5701 Maple Avenue Suite 300 Dallas, TX 75235 5701 Maple Avenue, Suite 300 Dallas, TX 7523511/17/2017 3:14 PM
DetailsLast Recertification DateUpdateRecertification8/29/2016 12:00:00 AM11/17/2017 3:14:44 PM11/17/2017 3:14 PM
DetailsEntity NameUpdateRecertificationDallas County Hospital District dba Parkland Health & Hospital SystemDALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH AND HOSPITAL SYSTEM11/15/2017 10:40 PM
ContactsAuthorizing OfficialUpdate Johnson, Vivian B. VP Pharmacy Services 4694191946Johnson, Vivian B. VP Pharmacy Services Parkland Health and Hospital System 469419194610/20/2017 10:08 AM
ContactsPrimary ContactUpdate Shah, Mayank Pharmacy 340B Program Supervisor 4694191964Shah, Mayank Pharmacy 340B Program Supervisor Parkland Hospital 46941919649/20/2017 10:19 AM
ContactsSigned ByInsert  McMullen, Elizabeth Vice President Finance & Controller Dallas County Hospital District 21459041287/26/2017 4:24 PM
ContactsPrimary ContactInsert  Shah, Mayank Pharmacy 340B Program Supervisor 46941919647/26/2017 4:24 PM
ContactsAuthorizing OfficialUpdate Lopez, David. S. COO 2145904085Johnson, Vivian B. VP Pharmacy Services 46941919467/26/2017 4:24 PM
AddressesShipping AddressDelete Dallas County Hospital District dba Parkland Health & Hospital System Parkland Outpatient Center 4917 Harry Hines Blvd. Dallas, TX 75235 7/26/2017 4:24 PM
AddressesMain AddressInsert   5701 Maple Avenue Suite 300 Dallas, TX 752357/26/2017 4:24 PM
AddressesShipping AddressInsert  Dallas County Hospital District dba Parkland Health & Hospital System Parkland Outpatient Center 4917 Harry Hines Blvd. Dallas, TX 752357/26/2017 4:24 PM
ContactsAuthorizing OfficialInsert  Lopez, David. S. COO 21459040855/10/2017 6:52 AM
Medicaid BillingNPI: NumberInsert  13264424199/26/2016 2:34 PM
DetailsLast Recertification DateUpdate 8/27/2015 12:00:00 AM8/29/2016 12:00:00 AM8/30/2016 12:40 PM
DetailsLast Recertification DateUpdate 8/26/2014 12:00:00 AM8/27/2015 12:00:00 AM8/27/2015 4:28 PM
DetailsLast Recertification DateUpdate  8/26/2014 12:00:00 AM8/26/2014 10:59 AM
DatesParticipating Approval DateUpdate  9/11/2013 12:00:00 AM9/11/2013 6:23 PM
DetailsStateUpdate PendingActive9/11/2013 6:23 PM
DatesStart DateUpdate  10/1/2013 12:00:00 AM9/11/2013 6:23 PM
Details340B IDUpdate ONLINE_REGDSH450015P8/2/2013 12:54 PM
DetailsLast Recertification DateInsert   7/15/2013 4:29 PM
DetailsGrant NumberInsert   7/15/2013 4:29 PM
Details340B IDInsert  ONLINE_REG7/15/2013 4:29 PM
DetailsIs Authorizing Official EHB DataInsert   7/15/2013 4:29 PM
DatesLast Date That 340B Drugs PurchasedInsert   7/15/2013 4:29 PM
DetailsMedicare Provider NumberInsert  4500157/15/2013 4:29 PM
DetailsEntity NameInsert  Dallas County Hospital District dba Parkland Health & Hospital System7/15/2013 4:29 PM
DetailsProgram CodeInsert  DSH7/15/2013 4:29 PM
DetailsEntity SubnameInsert  Comprehensive Breast Center7/15/2013 4:29 PM
DatesParticipating Approval DateInsert   7/15/2013 4:29 PM
DetailsStateInsert  Pending7/15/2013 4:29 PM
DatesRegistration DateInsert  7/15/2013 12:00:00 AM7/15/2013 4:29 PM
DatesSigned By DateInsert  7/15/2013 12:00:00 AM7/15/2013 4:29 PM
DatesStart DateInsert   7/15/2013 4:29 PM
TerminationsTermination CommentsInsert   7/15/2013 4:29 PM
TerminationsTermination DateInsert   7/15/2013 4:29 PM
TerminationsTermination Effective DateInsert   7/15/2013 4:29 PM
TerminationsTermination ReasonInsert   7/15/2013 4:29 PM