340B Drug Pricing Program Database
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DSH450801E CHRISTUS ST MICHAEL (Active)
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Main Details
Name
CHRISTUS ST MICHAEL
Subdivision Name
CHRISTUS ST MICHAEL SLEEP LAB
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450801E
Medicare Provider Number
450801
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/12/2015
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
CHRISTUS St. Michael
Jason Adams, President
(903) 614-2001
Primary Contact
CHRISTUS St Michael
Carly Armstrong, Coordinator Pharmacy 340B Program
(903) 614-2929
Addresses
Street Address
2604 ST MICHAEL DR
SUITE 435
TEXARKANA, TX 75503-2379
Billing Address
CHRISTUS ST MICHAEL
2600 ST MICHAEL DRIVE
TEXARKANA, TX 75503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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