340B Drug Pricing Program Database
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DSH670077 HOUSTON METHODIST WEST HOSPITAL (Active)
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Main Details
Name
HOUSTON METHODIST WEST HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH670077
Medicare Provider Number
670077
Additional Details
Current Program Status
Active
Registration Date
7/8/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/30/2022
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Houston Methodist West Hospital
Kyle R Stanzel, VP & Chief Operating Officer
(832) 522-0300
Primary Contact
Houston Methodist
Daniel Metzen, System Director of Pharmacy
(713) 441-2141
Addresses
Street Address
18500 KATY FWY
HOUSTON, TX 77094-1110
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2018; Terminated 10/1/2018; Reinstated 10/1/2022.
08/24/2022
Participating 10/1/15 until terminated effective 10/1/2015, reinstated effective 4/1/2018
01/04/2018
May 2025
May 2025
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