340B Drug Pricing Program Database
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DSH450079P BAYLOR MEDICAL CENTER AT IRVING (Active)
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Main Details
Name
BAYLOR MEDICAL CENTER AT IRVING
Subdivision Name
BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING - OUTPATIENT INFUSION
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450079P
Medicare Provider Number
450079
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/3/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/10/2025
Last Recertification Date
Contacts
Authorizing Official
Baylor Scott & White Medical Center - Irving
CINDY K. SCHAMP, PRESIDENT
(972) 990-8102
Primary Contact
BSWH
Gary Green, Pharmacy Director
(469) 939-5291
Addresses
Street Address
2001 N MACARTHUR BLVD
SUITE 320
IRVING, TX 75061-2220
Billing Address
BAYLOR S&W MEDICAL CENTER - IRVING
1901 N MACARTHUR BLVD
IRVING, TX 75019
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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