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DSH450184A MEMORIAL HERMANN HOSPITAL SYSTEM (Terminated)
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Main Details
Name
MEMORIAL HERMANN HOSPITAL SYSTEM
Subdivision Name
MEMORIAL HERMANN SOUTHEAST HOSPITAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450184A
Medicare Provider Number
450184
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/15/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/15/2010
Last Recertification Date
8/25/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Memorial Hermann System
Rebecca Tucker, VP, Finance
(713) 456-5340
Primary Contact
DAVID STRICKLER, CHIEF FINANCIAL OFFICER
(713) 456-5340
Addresses
Street Address
11800 ASTORIA BLVD
HOUSTON, TX 77089
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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