340B Drug Pricing Program Database
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DSH450152B AdventHealth Central Texas (Active)
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Main Details
Name
AdventHealth Central Texas
Subdivision Name
AdventHealth Wound Care Killeen
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450152B
Medicare Provider Number
450152
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/4/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/22/2013
Last Recertification Date
9/4/2024
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
2300 S Clear Creek Rd
Suite 101 and 201
Killeen, TX 76549
Billing Address
AdventHealth Central Texas
c/o AdventHealth
902 Inspiration Ave.
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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