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DSH450177 UVALDE COUNTY HOSPITAL AUTHORITY DBA UVALDE MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
UVALDE COUNTY HOSPITAL AUTHORITY DBA UVALDE MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450177
Medicare Provider Number
450177
Additional Details
Current Program Status
Terminated
Registration Date
9/14/2007
Participating Start Date
1/1/2005
Participating Approval Date
9/14/2007
Last Recertification Date
8/24/2016
Termination Date
Termination Reason
1/1/2018
Other
Contacts
Authorizing Official
Uvalde
Valerie J. Lopez, Chief Financial Officer
(830) 278-6251 Ext: 1173
Primary Contact
Uvalde Memorial Hospital
ASHISH PUNALEKAR, PHARMACIST
(830) 278-6251 Ext: 1138
Addresses
Street Address
1025 GARNER FIELD ROAD
UVALDE, TX 78801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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