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DSH450155A DEAF SMITH COUNTY HOSPITAL DISTRICT DBA HEREFORD REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
DEAF SMITH COUNTY HOSPITAL DISTRICT DBA HEREFORD REGIONAL MEDICAL CENTER
Subdivision Name
Hereford Health Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450155A
Medicare Provider Number
450155
Outpatient Facility Provider Number
458831
Additional Details
Current Program Status
Active
Registration Date
7/9/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/5/2014
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Hereford Regional Medical Center
Paul Gafford, CFO
(806) 349-9233
Primary Contact
Hereford Regional Medical Center
Lupita Estrada, Pharmacy Manager
(806) 364-2141
Addresses
Street Address
540 West 15th Street
Hereford, TX 79045
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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