340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC450011-04 ST. JOSEPH REGIONAL HEALTH CENTER (Terminated)
Print
Main Details
Name
ST. JOSEPH REGIONAL HEALTH CENTER
Subdivision Name
CHI St. Joseph Health Trauma Clinic - CHI St. Joseph Health Trauma Clinic
Type
Rural Referral Center
Rural
No
340B ID
RRC450011-04
Medicare Provider Number
450011
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/4/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/20/2018
Last Recertification Date
8/21/2020
Termination Date
Termination Reason
1/1/2021
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
CHI St. Joseph Regional Health Center
Ricardo Diaz, Chief Operating Officer
(979) 776-2580
Primary Contact
CHI St. Joseph Regional Health Center
Kimberly Feese, Director of Pharmacy
(979) 776-2506
Addresses
Street Address
2700 E. 29th Street, Ste 305
Bryan, TX 77802
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session