340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH450079M BAYLOR MEDICAL CENTER AT IRVING (Active)
Print
Main Details
Name
BAYLOR MEDICAL CENTER AT IRVING
Subdivision Name
BAYLOR SCOTT & WHITE COMPREHENSIVE - Wound Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450079M
Medicare Provider Number
450079
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2019
Participating Start Date
7/1/2019
Participating Approval Date
6/13/2019
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Baylor Scott & White Medical Center - Irving
CINDY K. SCHAMP, PRESIDENT
(972) 990-8102
Primary Contact
BSWH
Gary Green, Pharmacy Director
(469) 939-5291
Addresses
Street Address
400 W INTERSTATE 635 FWY, STE 130
IRVING, TX 75063-3700
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