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DSH450686A UNIVERSITY MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY MEDICAL CENTER
Subdivision Name
Lubbock County Hospital District - EMS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450686A
Medicare Provider Number
450686
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/4/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/6/2018
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
University Medical Center
John Lowe, Vice President of Support Services
(806) 775-8516
Primary Contact
University Medical Center
Courtney Armstrong, Director of Pharmacy
(806) 775-9391
Addresses
Street Address
5505 Marsha Sharp Freeway
Lubbock, TX 79414
Billing Address
University Medical Center
602 Indiana Ave
Lubbock, TX 79415
Comments
Medicaid Billing
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