340B Drug Pricing Program Database
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DSH450213KJ UNIVERSITY HEALTH SYSTEM (Terminated)
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Main Details
Name
UNIVERSITY HEALTH SYSTEM
Subdivision Name
Pavilion Med Therapy
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450213KJ
Medicare Provider Number
450213
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/24/2018
Last Recertification Date
8/26/2024
Termination Date
Termination Reason
1/1/2025
Never implemented the 340B Program
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
4647 Medical Dr
San Antonio, TX 78229
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
May 2025
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