340B Drug Pricing Program Database
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DSH450424C Houston Methodist Baytown Hospital (Active)
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Main Details
Name
Houston Methodist Baytown Hospital
Subdivision Name
HOUSTON METHODIST NEAL CANCER CENTER at Baytown
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450424C
Medicare Provider Number
450424
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/5/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/12/2018
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Houston Methodist Baytown Hospital
Brett T Brosseau, VICE PRESIDENT / COO
(713) 441-4136
Primary Contact
Houston Methodist
Daniel Metzen, System Director of Pharmacy
(713) 441-2141
Addresses
Street Address
4021 GARTH ROAD SUITE 105
Houston Methodist Cancer Center
BAYTOWN, TX 77521-3161
Billing Address
HOUSTON METHODIST BAYTOWN HOSPITAL
4401 GARTH ROAD
BAYTOWN, TX 77521-2122
Comments
Medicaid Billing
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Contract Pharmacies
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