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DSH450034 CHRISTUS HOSPITAL (Active)
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Main Details
Name
CHRISTUS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450034
Medicare Provider Number
450034
Additional Details
Current Program Status
Active
Registration Date
4/6/2021
Participating Start Date
5/25/2021
Participating Approval Date
4/7/2021
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
CHRISTUS Hospital
Paul Trevino, CEO, CHRISTUS Health Southeast Texas
(409) 899-7102
Primary Contact
CHRISTUS Health
Santosh Kalathra, Director of Pharmacy
(409) 236-7042
Addresses
Street Address
2830 CALDER STREET
BEAUMONT, TX 77702-1048
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (04/01/2015) until terminated effective date: (01/01/2018), reinstatement effective date: (05/25/2021)
05/21/2021
3/12/15 participating 4/1/2009 thru 6/30/2010, not participating effective 7/1/10 due to DSH% falling below statutory minimum, reinstated effective 4/1/15 based on on-line registration submitted in Jan. 2015; Govt contract certifying official: Kyle Hayes, City Manager, City of Beaumont, 709-880-3770, khayes@ci.beaumont.tx.us; 4/1/09 REINSTATED PREV PART FROM 7/1/06 TO 3/31/08 NOT ELIGIBLE FROM 4/1/08 TO 3/31/09; 2/5/09- DOC RECD TO CONFIRM ELIG DSH ADJ %
03/12/2015
4/1/09 REINSTATED PREV PART FROM 7/1/06 TO 3/31/08 NOT ELIGIBLE FROM 4/1/08 TO 3/31/09; 2/5/09- DOC RECD TO CONFIRM ELIG DSH ADJ %
06/30/2010
April 2025
April 2025
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