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DSH450054 SCOTT AND WHITE MEMORIAL HOSPITAL (Active)
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Main Details
Name
SCOTT AND WHITE MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450054
Medicare Provider Number
450054
Additional Details
Current Program Status
Active
Registration Date
3/17/2006
Participating Start Date
4/1/2006
Participating Approval Date
3/17/2006
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Baylor Scott & White Medical Center - Temple
Gregory Haralson, President
(254) 724-6583
Primary Contact
Baylor Scott & White Medical Center - Temple
Christy Evans, Mgr Pharmacy
(254) 724-2081
Addresses
Street Address
2401 S 31ST ST
TEMPLE, TX 76508
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/26/08 - DOC RECD TO CONFIRM ELIG DSH ADJ %
03/17/2006
May 2025
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