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DSH450082B CHRISTUS SPOHN HOSPITAL BEEVILLE (Active)
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Main Details
Name
CHRISTUS SPOHN HOSPITAL BEEVILLE
Subdivision Name
CHRISTUS SPOHN WOMEN'S CLINIC - BEEVILLE - Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450082B
Medicare Provider Number
450082
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/7/2024
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
CHRISTUS Spohn
Becky Rios, CFO
(361) 881-3157
Primary Contact
CHRISTUS Spohn Region
Noreen Adame, Lead Pharmacy Buyer
(361) 902-4326
Addresses
Street Address
301 S HILLSIDE DR
STE 10
BEEVILLE, TX 78102-5324
Billing Address
CHRISTUS SPOHN HOSPITAL BEEVILLE
1500 E. HOUSTON
BEEVILLE, TX 78102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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