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DSH450039 Tarrant County Hospital District d/b/a JPS Health Network (Active)
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Main Details
Name
Tarrant County Hospital District d/b/a JPS Health Network
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450039
Medicare Provider Number
450039
Additional Details
Current Program Status
Active
Registration Date
7/10/2008
Participating Start Date
8/1/1993
Participating Approval Date
7/10/2008
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Tarrant County Hospital District d/b/a JPS Health Network
Joy Parker, SVP, Operations
(817) 702-5802 Ext: 8177027143
Primary Contact
Tarrant County Hospital District d/b/a/ JPS Health Network
Nicole Shoquist, Chief Pharmacy Officer
(806) 674-2644
Addresses
Street Address
1500 S Main Street
FORT WORTH, TX 76104
Billing Address
JPS Health Network
1500 S Main St
Fort Worth, TX 76104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/19/08-NEW ADDRESS (WAS 600 WEST ROSEDALE, ZIP-76104)
04/07/2011
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