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CAH451348-00 MCCULLOCH COUNTY HOSPITAL DISTRICT D/B/A HEART OF TEXAS HEALTHCARE SYSTEM (Active)
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Main Details
Name
MCCULLOCH COUNTY HOSPITAL DISTRICT D/B/A HEART OF TEXAS HEALTHCARE SYSTEM
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451348-00
Medicare Provider Number
451348
Additional Details
Current Program Status
Active
Registration Date
9/2/2010
Participating Start Date
9/2/2010
Participating Approval Date
9/2/2010
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Heart of Texas Healthcare System
Tim Jones, CEO
(325) 597-2901 Ext: 3940
Primary Contact
PharmaCare Services
John K. Fuller, RPH
(210) 745-4015
Addresses
Street Address
2008 NINE ROAD
BRADY, TX 76825
Billing Address
MCCULLOCH COUNTY HOSPITAL DISTRICT D/B/A HEART OF TEXAS HEALTHCARE SYSTEM
P.O BOX 1150
BRADY, TX 76825
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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