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SCH450539-01 COVENANT HOSPITAL PLAINVIEW (Active)
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Main Details
Name
COVENANT HOSPITAL PLAINVIEW
Subdivision Name
RURAL HEALTH CLINIC / OB/GYN, FAMILY MEDICINE, PEDIATRICS
Type
Sole Community Hospital
Rural
No
340B ID
SCH450539-01
Medicare Provider Number
450539
Outpatient Facility Provider Number
673992
Additional Details
Current Program Status
Active
Registration Date
7/1/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/16/2014
Last Recertification Date
9/9/2024
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
2222 WEST 24TH STREET
PLAINVIEW, TX 79072
Billing Address
COVENANT HEALTH PLAINVIEW
2601 DIMMITT ROAD
PLAINVIEW, TX 79072
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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