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DSH450046D CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE (Active)
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Main Details
Name
CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE
Subdivision Name
CHRISTUS SPOHN CANCER CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450046D
Medicare Provider Number
450046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/5/2008
Participating Start Date
10/1/2001
Participating Approval Date
3/5/2008
Last Recertification Date
9/6/2024
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
1415 SANTA FE
CORPUS CHRISTI, TX 78404
Billing Address
CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE
2606 Hospital Blvd.
Corpus Christi, TX 78405
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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11/6/09 REMOVED MEDICAID# (WAS HO4500460)
03/05/2008
April 2025
April 2025
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