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SCH450654-00 STARR COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
STARR COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH450654-00
Medicare Provider Number
450654
Additional Details
Current Program Status
Active
Registration Date
10/12/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/2/2017
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Starr County Memorial Hospital
Eloy Garza, Assistant Administrator
(956) 487-9055
Primary Contact
Starr County Memorial Hospital
Rafael Olivares, Controller
(956) 487-9025
Addresses
Street Address
128 N FM 3167
RIO GRANDE CITY, TX 78582-6211
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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