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DSH450046AW CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE (Active)
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Main Details
Name
CHRISTUS SPOHN HOSPITAL CORPUS CHRISTI SHORELINE
Subdivision Name
South - Endoscopy/G.I.
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450046AW
Medicare Provider Number
450046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/11/2013
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
5950 Saratoga Blvd
Corpus Christi, TX 78414
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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