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DSH450213BW UNIVERSITY HEALTH SYSTEM (Active)
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Main Details
Name
UNIVERSITY HEALTH SYSTEM
Subdivision Name
Pavilion ExpressMed
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450213BW
Medicare Provider Number
450213
Outpatient Facility Provider Number
450213
Additional Details
Current Program Status
Active
Registration Date
7/8/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/3/2014
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
University Health
Christopher Reed Hurley, CFO
(210) 415-5321
Primary Contact
University Health System
Christopher Randal Schexnayder, Executive Director of Support Services
(504) 908-2188
Addresses
Street Address
4647 Medical Dr
San Antonio, TX 78229
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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