340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH450431Y ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP, DBA ST. DAVID'S MEDICAL CENTER (Terminated)
Print
Main Details
Name
ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP, DBA ST. DAVID'S MEDICAL CENTER
Subdivision Name
St. David's Wound Care/HBO - Wound Care/HBO
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450431Y
Medicare Provider Number
450431
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/30/2018
Last Recertification Date
8/16/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
St Davids Medical Center
Todd Steward, CEO
(512) 544-4215
Primary Contact
St. David's Medical Center
Robert McClelland, Director of Pharmacy
(512) 544-5250
Addresses
Street Address
900 E. 30th Street
Ste 109
Austin, TX 78705
Billing Address
St. David's Medical Center
919 E. 32nd St.
Austin, TX 78705
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session