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DSH450272 CHRISTUS Santa Rosa Hospital - San Marcos (Active)
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Main Details
Name
CHRISTUS Santa Rosa Hospital - San Marcos
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450272
Medicare Provider Number
450272
Additional Details
Current Program Status
Active
Registration Date
7/7/2008
Participating Start Date
10/1/2004
Participating Approval Date
7/7/2008
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
CHRISTUS Santa Rosa
Steve Chen, CFO
(210) 321-8031
Primary Contact
Christus Santa Rosa Hospital San Marcos
Ashlee Smith, Pharmacy Buyer
(512) 753-3731
Addresses
Street Address
1301 Wonder World Drive
San Marcos, TX 78666
Billing Address
P.O. Box 3065
Attn: Location 22105 Dept. 2490
Orem, UT 84059
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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