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DSH450236D CHRISTUS Mother Frances Hospital-Sulphur Springs - CHRISTUS Hopkins Health Alliance (Terminated)
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Main Details
Name
CHRISTUS Mother Frances Hospital-Sulphur Springs - CHRISTUS Hopkins Health Alliance
Subdivision Name
CHRISTUS TRINITY CLINIC - General Surgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450236D
Medicare Provider Number
450236
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/31/2019
Last Recertification Date
9/9/2020
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
CHRISTUS Health
Paul Harvey, CEO
(903) 439-4052
Primary Contact
Christus Mother Frances, Jacksonville
Joshua Ward, 340B Coordinator
(903) 606-7591
Addresses
Street Address
113 AIRPORT RD
STE 302
SULPHUR SPRINGS, TX 75482-2193
Billing Address
Christus Trinity Clinic
105 Medical Plaza
Sulphur Springs, TX 75482
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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