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DSH450046F CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE (Active)
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Main Details
Name
CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE
Subdivision Name
CHRISTUS Spohn Family Health Center - Westside
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450046F
Medicare Provider Number
450046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/31/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/27/2012
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
CHRISTUS Spohn
Becky Rios, Interim CFO
(361) 881-3157
Primary Contact
CHRISTUS Spohn Region
Noreen Adame, Lead Pharmacy Buyer
(361) 902-4326
Addresses
Street Address
4617 Greenwood Drive
Corpus Christi, TX 78416-1742
Billing Address
CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE
600 Elizabeth Street
Corpus Christi, TX 78404
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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