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DSH450867 Ascension Seton d/b/a Ascension Seton Northwest (Active)
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Main Details
Name
Ascension Seton d/b/a Ascension Seton Northwest
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450867
Medicare Provider Number
450867
Additional Details
Current Program Status
Active
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/20/2015
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Ascension Seton Northwest
Patrick Paver, Interim Chief Operating Officer
(512) 324-6046
Primary Contact
Ascension Health
Rodrigo Rodriguez, 340B Program Director
(512) 324-9999 Ext: 77031
Addresses
Street Address
11113 RESEARCH BLVD
AUSTIN, TX 78759-5297
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Last Recertification Date 09/16/2020
09/16/2020
May 2025
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