Covered Entity Details

DSH450330E OAKBEND MEDICAL CENTER (Active) - information as of 5/13/2025 11:03:20 PM

Main Details

Name

OAKBEND MEDICAL CENTER

Subdivision Name

River Oaks Surgery Center of OakBend Health System-Operating Room

Type

Disproportionate Share Hospital

Rural

340B ID

DSH450330E

Medicare Provider Number

450330

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

1/9/2024

Participating Start Date

4/1/2024

Participating Approval Date

2/6/2024

Last Recertification Date

8/22/2024

Contacts

Authorizing Official

OakBend Medical Center
Joseph Freudenberger, CEO
(281) 341-4819

Primary Contact

OakBend Medical Center
Hope Schnabel, Special Projects
(281) 341-4811

Addresses

Street Address

4120 Southwest Freeway
Suite 100
Houston, TX 77027

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
Participating Start Date 7/1/2017, Termination Date 10/1/2022, Reinstatement 4/1/2024	02/05/2024

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
Contract Detail	KROGER PHARMACY #010	24401 BRAZOS TOWN CROSSING		ROSENBERG	TX	77471	07/17/2017	10/01/2017		06/11/2019	12/10/2020

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH450330A	Child	DSH	OAKBEND MEDICAL CENTER	Metro Ortho and Spine Surgery Center of OakBend Health System	4219 Richmond Avenue	Houston	TX	Terminated
DSH450330AA	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Radiology-Diagnostic	22003 Southwest Freeway	Richmond	TX	Active
DSH450330AB	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Labor and Delivery	22003 Southwest Freeway	Richmond	TX	Active
DSH450330AC	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Adults & Pediatric Observation Patients	22003 SOUTHWEST FRWY	RICHMOND	TX	Active
DSH450330AD	Child	DSH	OAKBEND MEDICAL CENTER	Fort Bend Surgery Center of OakBend Health System	14851 Southwest Freeway	Sugarland	TX	Active
DSH450330AE	Child	DSH	OAKBEND MEDICAL CENTER	OakBend Outpatient Surgery Department – Grand Parkway - ASC	7830 Grand Parkway	Richmond	TX	Terminated
DSH450330AF	Child	DSH	OAKBEND MEDICAL CENTER	OakBend Outpatient Surgery Department - Greenway Plaza ASC - Ambulatory Surgery Center	4126 Southwest Freeway	Houston	TX	Active
DSH450330B	Child	DSH	OAKBEND MEDICAL CENTER	Grand Parkway Emergency	7830 W GRAND PARKWAY S.	RICHMOND	TX	Terminated
DSH450330C	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Emergency	22003 Southwest Freeway	Richmond	TX	Active
DSH450330D	Child	DSH	OAKBEND MEDICAL CENTER	Hospital of Surgical Excellence-Operating Room	1211 HIGHWAY 6	SUGAR LAND	TX	Terminated
DSH450330E	Child	DSH	OAKBEND MEDICAL CENTER	River Oaks Surgery Center of OakBend Health System-Operating Room	4120 Southwest Freeway	Houston	TX	Active
DSH450330F	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Operating Room	22003 Southwest Freeway	Richmond	TX	Active
DSH450330G	Child	DSH	OAKBEND MEDICAL CENTER	Hospital of Surgical Excellence -Emergency	1211 HIGHWAY 6	Sugarland	TX	Terminated
DSH450330H	Child	DSH	OAKBEND MEDICAL CENTER	Hospital of Surgical Excellence -Anesthesiology	1211 HIGHWAY 6 SUITE 70	Sugarland	TX	Terminated
DSH450330J	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Anesthesiology	22003 Southwest Freeway	Richmond	TX	Active
DSH450330K	Child	DSH	OAKBEND MEDICAL CENTER	Hospital for Surgical Excellence	1211 HIGHWAY 6	Sugarland	TX	Terminated
DSH450330L	Child	DSH	OAKBEND MEDICAL CENTER	Elite Minimally Invasive Surgery of OakBend Health System	6655 Travis Street	Houston	TX	Active
DSH450330M	Child	DSH	OAKBEND MEDICAL CENTER	Hospital of Surgical Excellence -MRI	1211 HIGHWAY 6	Sugarland	TX	Terminated
DSH450330N	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-MRI	22003 Southwest Freeway	Richmond	TX	Active
DSH450330P	Child	DSH	OAKBEND MEDICAL CENTER	Hospital of Surgical Excellence-Laboratory	1211 HIGHWAY 6	Sugarland	TX	Terminated
DSH450330Q	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Laboratory	22003 Southwest Freeway	Richmond	TX	Active
DSH450330R	Child	DSH	OAKBEND MEDICAL CENTER	Hospital of Surgical Excellence -Medical Surgery	1211 HIGHWAY 6	Sugarland	TX	Terminated
DSH450330S	Child	DSH	OAKBEND MEDICAL CENTER	River Oaks Surgery Center of OakBend Health System-Anesthesiology	4120 Southwest Freeway	Houston	TX	Active
DSH450330T	Child	DSH	OAKBEND MEDICAL CENTER	Hospital of Surgical Excellence-Ambulatory Surgery Care	1211 HIGHWAY 6	Sugarland	TX	Terminated
DSH450330U	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Ambulatory Surgery Care	22003 Southwest Freeway	Richmond	TX	Active
DSH450330V	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Physical Therapy	22003 Southwest Freeway	Richmond	TX	Active
DSH450330W	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Medical Surgery	22003 Southwest Freeway	Richmond	TX	Terminated
DSH450330X	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-RESPIRATORY	22003 Southwest Freeway	Richmond	TX	Active
DSH450330Y	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-CT	22003 Southwest Freeway	Richmond	TX	Active
DSH450330Z	Child	DSH	OAKBEND MEDICAL CENTER	Williams Way Campus-Nuclear Medicine	22003 Southwest Freeway	Richmond	TX	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification		8/22/2024 3:51:01 PM	8/22/2024 3:51 PM
Details	State	Update		Approved	Active	4/1/2024 12:01 AM
Contacts	Primary Contact	Update	Reinstatement	Rayani, Nikita Program Director OakBend Medical Center 2816334012	Schnabel, Hope Special Projects OakBend Medical Center 2813414811	2/6/2024 12:06 PM
Contacts	Authorizing Official	Update	Reinstatement	Hammel, Jeffrey CFO OakBend Medical Center 2813414881	Freudenberger, Joseph CEO OakBend Medical Center 2813414819	2/6/2024 12:06 PM
Contacts	Signed By	Update	Reinstatement	Hammel, Jeffrey CFO OakBend Medical Center 2813414881	Freudenberger, Joseph CEO OakBend Medical Center 2813414819	2/6/2024 12:06 PM
Details	Last Recertification Date	Update	Reinstatement	8/23/2021 2:52:43 PM		2/6/2024 12:06 PM
Dates	Last Date That 340B Drugs Purchased	Update	Reinstatement	9/30/2022 12:00:00 AM		2/6/2024 12:06 PM
Dates	Participating Approval Date	Update	Reinstatement	6/8/2017 12:00:00 AM	2/6/2024 12:06:33 PM	2/6/2024 12:06 PM
Details	State	Update	Reinstatement	Terminated	Approved	2/6/2024 12:06 PM
Dates	Registration Date	Update	Reinstatement	4/28/2017 12:00:00 AM	1/9/2024 2:56:36 PM	2/6/2024 12:06 PM
Dates	Signed By Date	Update	Reinstatement	4/28/2017 12:00:00 AM	1/15/2024 11:39:34 AM	2/6/2024 12:06 PM
Dates	Start Date	Update	Reinstatement	7/1/2017 12:00:00 AM	4/1/2024 12:00:00 AM	2/6/2024 12:06 PM
Terminations	Termination Date	Update	Reinstatement	10/1/2022 12:00:00 AM		2/6/2024 12:06 PM
Terminations	Termination Effective Date	Update	Reinstatement	10/1/2022 12:00:00 AM		2/6/2024 12:06 PM
Terminations	Termination Reason	Update	Reinstatement	Failure to recertify		2/6/2024 12:06 PM
Details	Comments Public	Insert	Reinstatement		Participating Start Date 7/1/2017, Termination Date 10/1/2022, Reinstatement 4/1/2024	2/5/2024 10:33 AM
Details	State	Update		To Be Terminated	Terminated	10/1/2022 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		9/30/2022 12:00:00 AM	9/22/2022 11:22 AM
Details	State	Update	Recertification	Active	To Be Terminated	9/22/2022 11:22 AM
Terminations	Termination Date	Update	Recertification		10/1/2022 12:00:00 AM	9/22/2022 11:22 AM
Terminations	Termination Effective Date	Update	Recertification		10/1/2022 12:00:00 AM	9/22/2022 11:22 AM
Terminations	Termination Reason	Update	Recertification		Failure to recertify	9/22/2022 11:22 AM
Details	Last Recertification Date	Update	Recertification	8/20/2019 6:09:28 PM	8/23/2021 2:52:43 PM	8/23/2021 2:52 PM
Dates	Last Date That 340B Drugs Purchased	Update	OPA Cancel Termination Request	9/30/2020 12:00:00 AM		9/24/2020 7:52 AM
Details	State	Update	OPA Cancel Termination Request	To Be Terminated	Active	9/24/2020 7:52 AM
Terminations	Termination Date	Update	OPA Cancel Termination Request	10/1/2020 12:00:00 AM		9/24/2020 7:52 AM
Terminations	Termination Effective Date	Update	OPA Cancel Termination Request	9/30/2020 12:00:00 AM		9/24/2020 7:52 AM
Terminations	Termination Reason	Update	OPA Cancel Termination Request	Failure to recertify		9/24/2020 7:52 AM
Dates	Last Date That 340B Drugs Purchased	Update	Recertification		9/30/2020 12:00:00 AM	9/16/2020 8:22 AM
Details	State	Update	Recertification	Active	To Be Terminated	9/16/2020 8:22 AM
Terminations	Termination Date	Update	Recertification		10/1/2020 12:00:00 AM	9/16/2020 8:22 AM
Terminations	Termination Effective Date	Update	Recertification		9/30/2020 12:00:00 AM	9/16/2020 8:22 AM
Terminations	Termination Reason	Update	Recertification		Failure to recertify	9/16/2020 8:22 AM
Details	Last Recertification Date	Update	Recertification	9/11/2018 12:33:08 PM	8/20/2019 6:09:28 PM	8/20/2019 6:09 PM
Details	Last Recertification Date	Update	Recertification	11/9/2017 12:28:59 PM	9/11/2018 12:33:08 PM	9/11/2018 12:33 PM
Details	Last Recertification Date	Update	Recertification		11/9/2017 12:28:59 PM	11/9/2017 12:28 PM
Details	Entity Subname	Update	Recertification	River Oaks Surgery Center of OakBend Health System	River Oaks Surgery Center of OakBend Health System-Operating Room	11/9/2017 12:28 PM
Contacts	Authorizing Official	Update		Hammel, Jeffrey CFO 2813414881	Hammel, Jeffrey CFO OakBend Medical Center 2813414881	10/9/2017 12:40 PM
Contacts	Signed By	Update		Hammel, Jeffrey CFO 2813414881	Hammel, Jeffrey CFO OakBend Medical Center 2813414881	10/9/2017 12:40 PM
Contacts	Primary Contact	Update		Rayani, Nikita Program Director 2816334012	Rayani, Nikita Program Director OakBend Medical Center 2816334012	10/3/2017 1:05 PM
Contacts	Authorizing Official	Insert			Hammel, Jeffrey CFO 2813414881	8/3/2017 10:28 AM
Contacts	Signed By	Insert			Hammel, Jeffrey CFO 2813414881	8/3/2017 10:28 AM
Contacts	Primary Contact	Insert			Rayani, Nikita Program Director 2816334012	8/3/2017 10:28 AM
Addresses	Main Address	Insert			4120 Southwest Freeway Suite 100 Houston, TX 77027	7/24/2017 5:12 PM
Dates	Participating Approval Date	Update			6/8/2017 12:00:00 AM	6/8/2017 2:23 PM
Details	State	Update		Pending	Active	6/8/2017 2:23 PM
Dates	Start Date	Update			7/1/2017 12:00:00 AM	6/8/2017 2:23 PM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_77542	DSH450330E	5/3/2017 8:52 AM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_77542	4/28/2017 3:42 PM
Details	Last Recertification Date	Insert				4/28/2017 3:42 PM
Details	Grant Number	Insert				4/28/2017 3:42 PM
Details	340B ID	Insert				4/28/2017 3:42 PM
Details	Is Authorizing Official EHB Data	Insert				4/28/2017 3:42 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/28/2017 3:42 PM
Details	Medicare Provider Number	Insert			450330	4/28/2017 3:42 PM
Details	Entity Name	Insert			OAKBEND MEDICAL CENTER	4/28/2017 3:42 PM
Details	Program Code	Insert			DSH	4/28/2017 3:42 PM
Details	Entity Subname	Insert			River Oaks Surgery Center of OakBend Health System	4/28/2017 3:42 PM
Dates	Participating Approval Date	Insert				4/28/2017 3:42 PM
Details	State	Insert			Pending	4/28/2017 3:42 PM
Dates	Registration Date	Insert			4/28/2017 12:00:00 AM	4/28/2017 3:42 PM
Dates	Signed By Date	Insert			4/28/2017 12:00:00 AM	4/28/2017 3:42 PM
Dates	Start Date	Insert				4/28/2017 3:42 PM
Terminations	Termination Comments	Insert				4/28/2017 3:42 PM
Terminations	Termination Date	Insert				4/28/2017 3:42 PM
Terminations	Termination Effective Date	Insert				4/28/2017 3:42 PM
Terminations	Termination Reason	Insert				4/28/2017 3:42 PM