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CAH451391-00 FRIO REGIONAL HOSPITAL (Active)
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Main Details
Name
FRIO REGIONAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451391-00
Medicare Provider Number
451391
Additional Details
Current Program Status
Active
Registration Date
3/14/2018
Participating Start Date
4/1/2018
Participating Approval Date
3/14/2018
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
FRIO REGIONAL HOSPITAL
JOHN R HUGHSON, CEO
(830) 334-3617 Ext: 103
Primary Contact
frio regional hospital
Jesse Oviedo, Pharmacist
(830) 334-3617 Ext: 137
Addresses
Street Address
200 IH 35
PEARSALL, TX 78061
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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