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HM1592 CHILDREN'S MEDICAL CENTER OF DALLAS (Active)
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Main Details
Name
CHILDREN'S MEDICAL CENTER OF DALLAS
Subdivision Name
NORTH TEXAS HEMOPHILIA CENTER
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM1592
Grant Number
5H30MC24051-13-00
Additional Details
Current Program Status
Active
Registration Date
10/1/1996
Participating Start Date
10/1/1996
Participating Approval Date
6/15/2005
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Children's Health
Robert S. Fries, Chief Financial Officer
(214) 456-8414
Primary Contact
Children's Health
Chris Bradley Geiger, Director Business Operations, Ancillary Services
(214) 456-7437
Addresses
Street Address
1935 Medical District Drive
DALLAS, TX 75235
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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10/16/07-DELETED MEDICAID # (WAS 29828) UPON REQUEST OF COVERED ENTITY
10/01/1996
April 2025
April 2025
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