340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH450346E BAPTIST HOSPITALS OF SOUTHEAST TEXAS DBA BAPTIST BEAUMONT HOSPITAL (Terminated)
Print
Main Details
Name
BAPTIST HOSPITALS OF SOUTHEAST TEXAS DBA BAPTIST BEAUMONT HOSPITAL
Subdivision Name
Orange / Emergency Room
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450346E
Medicare Provider Number
450346
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/3/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/7/2015
Last Recertification Date
8/17/2016
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
Baptist Hospitals of Southeast Texas
Patrick Shannon, Chief Operating Officer
(409) 212-5005
Primary Contact
Baptist Hospitals of Southeast Texas
Aily Powell, Administrative Director of Pharmacy
(409) 212-7282
Addresses
Street Address
608 Strickland Dr
Orange, TX 77630-4717
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session