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SCH450539-00 COVENANT HOSPITAL PLAINVIEW (Active)
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Main Details
Name
COVENANT HOSPITAL PLAINVIEW
Subdivision Name
Type
Sole Community Hospital
Rural
No
340B ID
SCH450539-00
Medicare Provider Number
450539
Additional Details
Current Program Status
Active
Registration Date
7/9/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/12/2013
Last Recertification Date
9/13/2024
Contacts
Authorizing Official
Covenant Health
Cora Rivera, CFO
(806) 725-6547
Primary Contact
Covenant Health
Christine Farmer, Regional Executive Director of 340B Operations
(806) 725-6654
Addresses
Street Address
2601 DIMMITT ROAD
PLAINVIEW, TX 79072
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Your file date is past the 5 months from your cost report end date required by CMS. Please upload your most recently filed Medicare Cost Report. Include digitally signed Worksheet S.
09/13/2019
April 2025
April 2025
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