340B Drug Pricing Program Database
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DSH450431AR ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP, DBA ST. DAVID'S MEDICAL CENTER (Active)
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Main Details
Name
ST. DAVID'S HEALTHCARE PARTNERSHIP, L.P., LLP, DBA ST. DAVID'S MEDICAL CENTER
Subdivision Name
St Davids Georgetown Hospital - Occupational Therapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450431AR
Medicare Provider Number
450431
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/27/2020
Participating Start Date
4/1/2020
Participating Approval Date
4/1/2020
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
St. David's Healthcare
David McKnight, CFO
(512) 544-5030
Primary Contact
St. David's Healthcare
JOSEPHINE FUENTES, 340B Program Coordinator
(512) 681-2136
Addresses
Street Address
2000 Scenic Dr
Georgetown, TX 78626
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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