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RRC450011-00 ST. JOSEPH REGIONAL HEALTH CENTER (Active)
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Main Details
Name
ST. JOSEPH REGIONAL HEALTH CENTER
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC450011-00
Medicare Provider Number
450011
Additional Details
Current Program Status
Active
Registration Date
7/3/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/6/2018
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
St. Joseph Regional Health Center
Erin Marietta, VP Operations
(443) 956-3099
Primary Contact
St. Joseph Regional Health Center
Kimberly Feese, Market Director Pharmacy
(979) 776-2506
Addresses
Street Address
2801 FRANCISCAN DRIVE
BRYAN, TX 77802-2544
Billing Address
ST JOSPH REG HLT CTR
PO BOX 2400
Phoenix, AZ 85002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated as a DSH starting 1/1/2012; terminated DSH on 7/1/2014; Participation as a RRC starting 10/1/2018.
07/06/2018
April 2025
April 2025
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