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DSH450102CF CHRISTUS MOTHER FRANCES HOSP-TYLER (Approved)
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Main Details
Name
CHRISTUS MOTHER FRANCES HOSP-TYLER
Subdivision Name
CHRISTUS Orthopedics & Sports Medicine Institute - Orthopedics & Sports Medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450102CF
Medicare Provider Number
450102
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/8/2025
Last Recertification Date
Contacts
Authorizing Official
CHRISTUS Mother Frances Health System
Eric Garrison, CFO
(903) 606-4102
Primary Contact
Christus Mother Frances, Jacksonville
Joshua Ward, 340B Coordinator
(903) 606-7591
Addresses
Street Address
8591 S. Broadway
Tyler, TX 75703
Billing Address
CHRISTUS MOTHER FRANCES HOSP - TYLER
800 East Dawson
Tyler, TX 75701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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