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DSH450213KC UNIVERSITY HEALTH SYSTEM (Terminated)
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Main Details
Name
UNIVERSITY HEALTH SYSTEM
Subdivision Name
BEXAR COUNTY HOSPITAL DISTRICT SAL - RSC CMA MOONLIGHTING
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450213KC
Medicare Provider Number
450213
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/24/2018
Last Recertification Date
8/31/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
University Health System
Reed Hurley, Executive Vice President/CFO
(210) 358-2101 Ext: 2141
Primary Contact
University Health System
Josefa Benedetti, Executive Director of Pharmacy
(210) 743-4077
Addresses
Street Address
630 S. GENERAL MCMULLEN
UHS SALINAS
SAN ANTONIO, TX 78211-2005
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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