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CAH451387-00 Uvalde Memorial Hospital (Active)
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Main Details
Name
Uvalde Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451387-00
Medicare Provider Number
451387
Additional Details
Current Program Status
Active
Registration Date
4/19/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/25/2017
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Uvalde Memorial Hospital
Terri Contreras, Chief Financial Officer
(830) 278-6251 Ext: 1283
Primary Contact
Uvalde Memorial Hospital
ASHISH PUNALEKAR, PHARMACIST
(830) 278-6251 Ext: 1138
Addresses
Street Address
1025 Garner Field Road
Uvalde, TX 78801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated as DSH450177 from 1/1/2005-7/1/2017. Converted to CAH451387-00 on 7/1/2017.
04/25/2017
Participated as DSH450177 from 1/1/2005-7/1/2017. Converted to CAH 7/1/2017.
04/25/2017
May 2025
May 2025
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