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CAH451391-03 FRIO REGIONAL HOSPITAL (Approved)
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Main Details
Name
FRIO REGIONAL HOSPITAL
Subdivision Name
READYCARE-DILLEY - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451391-03
Medicare Provider Number
451391
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/8/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/9/2025
Last Recertification Date
Contacts
Authorizing Official
FRIO REGIONAL HOSPITAL
JOHN R HUGHSON, CEO
(830) 334-3617 Ext: 103
Primary Contact
FRIO REGIOINAL HOSPITAL
JESSE OVIEDO, PHARMACIST
(830) 334-8617 Ext: 137
Addresses
Street Address
801 W FM 117
DILLEY, TX 78017-3409
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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