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DSH450034BE CHRISTUS HOSPITAL (Active)
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Main Details
Name
CHRISTUS HOSPITAL
Subdivision Name
CHRISTUS Trinity Clinic - Rheumatology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450034BE
Medicare Provider Number
450034
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/9/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/8/2024
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
CHRISTUS Hospital
Paul Trevino, CEO, CHRISTUS Health Southeast Texas
(409) 899-7102
Primary Contact
CHRISTUS Health
Santosh Kalathra, Director of Pharmacy
(409) 236-7042
Addresses
Street Address
3030 North St.
Suite 450
Beaumont, TX 77702
Billing Address
CHRISTUS Hospital
2830 Calder Street
Beaumont, TX 77702-1048
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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