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DSH450039B 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
DIAMOND HILL COMMUNITY CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450039B
Medicare Provider Number
450039
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2008
Participating Start Date
4/1/1995
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
3308 DEEN ROAD
FORT WORTH, TX 76106
Billing Address
JPS Health Network Central Fill Pharmacy
1500 S Main St
Fort Worth, TX 76104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/18/08-REVISED NAME (WAS DIAMOND HILL COMMUNITY HLTH CNTR)
09/18/2008
May 2025
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