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DSH450163 CHRISTUS SPOHN HOSPITAL KLEBERG (Active)
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Main Details
Name
CHRISTUS SPOHN HOSPITAL KLEBERG
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450163
Medicare Provider Number
450163
Additional Details
Current Program Status
Active
Registration Date
8/31/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/31/2005
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
CHRISTUS Spohn
Becky Rios, Interim CFO
(361) 881-3157
Primary Contact
CHRISTUS Spohn Region
Noreen Adame, Lead Pharmacy Buyer
(361) 902-4326
Addresses
Street Address
1311 E. GENERAL CAVAZOS BLVD
KINGSVILLE, TX 78363
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/6/09 REMOVED MEDICAID# (WAS 136436606)
11/06/2009
April 2025
April 2025
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