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DSH450828 CHRISTUS SPOHN HOSPITAL ALICE (Active)
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Main Details
Name
CHRISTUS SPOHN HOSPITAL ALICE
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450828
Medicare Provider Number
450828
Additional Details
Current Program Status
Active
Registration Date
9/16/2005
Participating Start Date
9/16/2005
Participating Approval Date
9/16/2005
Last Recertification Date
8/19/2024
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
2500 EAST MAIN ST.
ALICE, TX 78332
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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