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DSH450101 HILLCREST BAPTIST MEDICAL CENTER (Active)
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Main Details
Name
HILLCREST BAPTIST MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450101
Medicare Provider Number
450101
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
6/3/2005
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Baylor Scott & White Medical Center - Hillcrest
Shellie Mach, CFO
(254) 202-9414
Primary Contact
Baylor Scott & White Medical Center - Hillcrest
Rosie Rosatti, Pharmacist 3
(512) 522-7337
Addresses
Street Address
100 HILLCREST MEDICAL BLVD
WACO, TX 76712
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/11/09 UPDATED ADDR (WAS 3000 HERRING AVENUE, PO BOX 5100) AND ZIP (WAS 76708-0100); 12/13/2008- OPA NOTIFIED 12/2/08- DOCUMENT RECD. TO CONFIRM ELIG. DSH ADJ. %; NEW ADD 7/05
06/11/2009
May 2025
May 2025
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