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DSH450024E UNIVERSITY MEDICAL CENTER OF EL PASO (Terminated)
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Main Details
Name
UNIVERSITY MEDICAL CENTER OF EL PASO
Subdivision Name
UMC Neighborhood Health Center Crossroads
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450024E
Medicare Provider Number
450024
Outpatient Facility Provider Number
450024
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/17/2013
Last Recertification Date
11/13/2017
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
University Medical Center of El Paso
MICHAEL NUNEZ, CFO
(915) 521-7626
Primary Contact
University Medical Center of El Paso
Myron Ray Lewis, Director of Pharmacy
(915) 521-7662
Addresses
Street Address
5021 Crossroads Drive
El Paso, TX 79932
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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