340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH450104 GUADALUPE REGIONAL MEDICAL CENTER (Active)
Print
Main Details
Name
GUADALUPE REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450104
Medicare Provider Number
450104
Additional Details
Current Program Status
Active
Registration Date
7/11/2008
Participating Start Date
10/1/2004
Participating Approval Date
7/11/2008
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Guadalupe Regional Medical Center
Kody Bryan Gann, Chief Financial Officer
(830) 401-7721
Primary Contact
Guadalupe Regional Medical Center
Scott Mozisek, Director of Pharmacy
(830) 379-2411
Addresses
Street Address
1215 E. COURT
SEGUIN, TX 78155
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
2/1/06 UPDATED ENTITY NAME (WAS GUADALUPE VALLEY HOSPITAL)
01/22/2010
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session