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DSH450046 CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE (Active)
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Main Details
Name
CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450046
Medicare Provider Number
450046
Additional Details
Current Program Status
Active
Registration Date
3/5/2008
Participating Start Date
4/1/1997
Participating Approval Date
3/5/2008
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
600 Elizabeth St.
CORPUS CHRISTI, TX 78404
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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