340B Drug Pricing Program Database
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CAH451371-00 Ascension Seton d/b/a Ascension Seton Edgar B. Davis (Active)
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Main Details
Name
Ascension Seton d/b/a Ascension Seton Edgar B. Davis
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451371-00
Medicare Provider Number
451371
Additional Details
Current Program Status
Active
Registration Date
8/18/2010
Participating Start Date
8/19/2010
Participating Approval Date
8/19/2010
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Ascension Seton Smithville
Jace D Jones, Authorizing Official
(512) 237-5777
Primary Contact
Ascension Health
Rodrigo Rodriguez, 340B Program Director
(512) 324-9999 Ext: 77031
Addresses
Street Address
130 HAYS STREET
LULING, TX 78648-3207
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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