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DSH450686S UNIVERSITY MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY MEDICAL CENTER
Subdivision Name
UMC Health & Wellness Hospital - Urgent Care Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450686S
Medicare Provider Number
450686
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/3/2024
Participating Start Date
1/1/2025
Participating Approval Date
11/12/2024
Last Recertification Date
Contacts
Authorizing Official
University Medical Center
John Lowe, Vice President of Support Services
(806) 775-8516
Primary Contact
University Medical Center
Courtney Armstrong, Director of Pharmacy
(806) 775-9391
Addresses
Street Address
11102 Headquarters Drive
Lubbock, TX 79424
Billing Address
UNIVERSITY MEDICAL CENTER PHARMACY
602 Indiana Ave
Lubbock, TX 79415
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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