340B Drug Pricing Program Database
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DSH450424H Houston Methodist Baytown Hospital (Active)
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Main Details
Name
Houston Methodist Baytown Hospital
Subdivision Name
HM BAYTOWN CARDIAC REHAB - CARDIAC REHAB
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450424H
Medicare Provider Number
450424
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/14/2024
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Houston Methodist Baytown Hospital
Brett T Brosseau, VICE PRESIDENT / COO
(713) 441-4136
Primary Contact
Houston Methodist
Daniel Metzen, System Director of Pharmacy
(713) 441-2141
Addresses
Street Address
4401 GARTH RD
BAYTOWN, TX 77521-2122
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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