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SCH670108-00 BAYLOR SCOTT & WHITE - MARBLE FALLS (Active)
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Main Details
Name
BAYLOR SCOTT & WHITE - MARBLE FALLS
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH670108-00
Medicare Provider Number
670108
Additional Details
Current Program Status
Active
Registration Date
1/15/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/8/2024
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Baylor Scott & White Medical Center - Marble Falls
Timothy Ols, President
(830) 201-8679
Primary Contact
Baylor Scott & White Medical Center - Marble Falls
Nola Finke, Mgr Pharmacy
(979) 220-0747
Addresses
Street Address
810 W HIGHWAY 71
MARBLE FALLS, TX 78654
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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