340B Drug Pricing Program Database
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DSH450152 AdventHealth Central Texas (Active)
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Main Details
Name
AdventHealth Central Texas
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450152
Medicare Provider Number
450152
Additional Details
Current Program Status
Active
Registration Date
3/4/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/10/2010
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
AdventHealth Central Texas
Janet Garcia, Chief Financial Officer
(682) 459-7140
Primary Contact
AdventHealth
Dustin Lott Jones, 340B Coordinator
(254) 833-1495
Addresses
Street Address
2201 S. CLEAR CREEK ROAD
KILLEEN, TX 76549
Billing Address
AdventHealth Central Texas
c/o AdventHealth
902 Inspiration Avenue
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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