340B Drug Pricing Program Database
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DSH450424A Houston Methodist Baytown Hospital (Active)
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Main Details
Name
Houston Methodist Baytown Hospital
Subdivision Name
HM BAYTOWN AMBULATORY SURGERY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450424A
Medicare Provider Number
450424
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/29/2009
Participating Start Date
7/1/2009
Participating Approval Date
6/8/2009
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Houston Methodist Baytown Hospital
Brett T Brosseau, VICE PRESIDENT / COO
(713) 441-4136
Primary Contact
Houston Methodist
Daniel Metzen, System Director of Pharmacy
(713) 441-2141
Addresses
Street Address
1677 WEST BAKER ROAD
BAYTOWN, TX 77521-2422
Billing Address
Houston Methodist Baytown Hospital
4401 GARTH ROAD
BAYTOWN, TX 77521
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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