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DSH450137 BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH (Active)
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Main Details
Name
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450137
Medicare Provider Number
450137
Additional Details
Current Program Status
Active
Registration Date
12/11/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/15/2009
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Baylor Scott & White All Saints Medical Center - Fort Worth
Lucy Catala, VP CFO - DFW West Region
(817) 922-1957
Primary Contact
Baylor Scott & White All Saints Medical Center - Fort Worth
RICK MYERS, DIRECTOR OF PHARMACY
(817) 927-6282
Addresses
Street Address
1400 8TH AVENUE
FORT WORTH, TX 76104
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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