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DSH450844J HOUSTON METHODIST WILLOWBROOK HOSPITAL (Active)
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Main Details
Name
HOUSTON METHODIST WILLOWBROOK HOSPITAL
Subdivision Name
Houston Methodist Emergency Care Center in Magnolia - Magnolia Emergency Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450844J
Medicare Provider Number
450844
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/9/2024
Participating Start Date
10/1/2024
Participating Approval Date
9/13/2024
Last Recertification Date
Contacts
Authorizing Official
Houston Methodist Willowbrook Hospital
Julie K Peterson, Vice President/Chief Operating Officer
(281) 737-2115
Primary Contact
Houston Methodist
Daniel Metzen, System Director of Pharmacy
(713) 441-2141
Addresses
Street Address
18230 FM 1488 RD STE 101
Magnolia, TX 77354-4529
Billing Address
Houston Methodist Willowbrook Hospital
18220 State Highway 249
Houston, TX 77070-4347
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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