340B Drug Pricing Program Database
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DSH450801AS CHRISTUS ST MICHAEL (Active)
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Main Details
Name
CHRISTUS ST MICHAEL
Subdivision Name
CHRISTUS HEALTH ARK-LA-TEX - CHRISTUS St. Michael Oncology Clinic W - Infusion
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450801AS
Medicare Provider Number
450801
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/5/2024
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
CHRISTUS St. Michael
Jason Adams, President
(903) 614-2001
Primary Contact
CHRISTUS St Michael
Carly Armstrong, Coordinator Pharmacy 340B Program
(903) 614-2929
Addresses
Street Address
5002 COWHORN CREEK RD, STE 3205
CSM ONCOLOGY CLINIC-COWHORN CREEK
TEXARKANA, TX 75503-9766
Billing Address
CHRISTUS ST MICHAEL
2600 ST MICHAEL DRIVE
TEXARKANA, TX 75503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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