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DSH450015BP DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH (Approved)
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Main Details
Name
DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH
Subdivision Name
Acute Response Clinic Garland
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450015BP
Medicare Provider Number
450015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/21/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/22/2025
Last Recertification Date
Contacts
Authorizing Official
Parkland Health
Vivian B. Johnson, Senior Vice President
(469) 419-1946
Primary Contact
Parkland Health
Mayank Shah, Pharmacy 340B Program Manager
(469) 419-1964
Addresses
Street Address
802 Hopkins St
Garland, TX 75040
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating 07/01/2016 until terminated effective 10/01/2021, reinstated 07/01/2025.
04/22/2025
June 2025
June 2025
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