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DSH450848B Memorial Hermann Sugar Land Hospital (Terminated)
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Main Details
Name
Memorial Hermann Sugar Land Hospital
Subdivision Name
Richmond Bone and Joint-Sugarcreek
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450848B
Medicare Provider Number
450848
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/13/2013
Last Recertification Date
8/22/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Memorial Hermann System
Rebecca Tucker, VP, Finance
(713) 456-5340
Primary Contact
Memorial Hermann Pharmacy Services
Cody Meuth, Director of Pharmacy
(281) 725-5271
Addresses
Street Address
15035 Southwest Freeway
Sugar Land, TX 77478
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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