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DSH450034AC CHRISTUS HOSPITAL (Terminated)
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Main Details
Name
CHRISTUS HOSPITAL
Subdivision Name
CHRISTUS SOUTHEAST TEXAS Minor Care Center St. Elizabeth - Minor Care Fast Track
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450034AC
Medicare Provider Number
450034
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/12/2015
Last Recertification Date
9/1/2016
Termination Date
Termination Reason
1/1/2018
DSH percentage below statutory minimum
Contacts
Authorizing Official
CHRISTUS Hospital
Paul Trevino, CEO, CHRISTUS Health Southeast Texas
(409) 899-7102
Primary Contact
CHRISTUS Hospital
Tommy Welch, Director of Pharmacy
(409) 899-7042
Addresses
Street Address
3939 Dowlen Rd., Suite 19
BEAUMONT, TX 77706-6876
Billing Address
CHRISTUS SOUTHEAST TEXAS St. Elizabeth
2830 Calder St.
Beaumont, TX 77702
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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