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DSH450124A Ascension Seton d/b/a Dell Seton Medical Center at The University of Texas (Terminated)
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Main Details
Name
Ascension Seton d/b/a Dell Seton Medical Center at The University of Texas
Subdivision Name
Seton Infusion Center, a Department of Dell Seton Medical Center at The University of Texas
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450124A
Medicare Provider Number
450124
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/24/2017
Last Recertification Date
9/5/2019
Termination Date
Termination Reason
1/1/2020
DSH percentage below statutory minimum
Contacts
Authorizing Official
Dell Seton Medical Center at The University of Texas
Timothy Brierty, COO
(512) 324-7006
Primary Contact
Seton Healthcare Family
Shewan M Aziz, Senior Director of Pharmacy
(512) 324-7303
Addresses
Street Address
University of Texas at Austin Health Transformation Building
1601 Trinity Street, Suite 804
Austin, TX 78712-1850
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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