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DSH450213HP UNIVERSITY HEALTH SYSTEM (Active)
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Main Details
Name
UNIVERSITY HEALTH SYSTEM
Subdivision Name
Southeast X-Ray Imaging
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450213HP
Medicare Provider Number
450213
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/4/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/12/2018
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
University Health
Christopher Reed Hurley, CFO
(210) 415-5321
Primary Contact
University Health System
Christopher Randal Schexnayder, Executive Director of Support Services
(504) 908-2188
Addresses
Street Address
1055 ADA ST
SAN ANTONIO, TX 78223-1703
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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