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DSH450056C Ascension Seton d/b/a Ascension Seton Medical Center Austin (Active)
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Main Details
Name
Ascension Seton d/b/a Ascension Seton Medical Center Austin
Subdivision Name
Seton Mind Institute-Cancer Care Collaborative - Cancer Care Collaborative
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450056C
Medicare Provider Number
450056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2020
Participating Start Date
10/1/2020
Participating Approval Date
9/9/2020
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Ascension Seton Medical Center Austin
Andrew John Gnann, Interim President
(205) 324-3038
Primary Contact
Ascension Health
Rodrigo Rodriguez, 340B Program Director
(512) 324-9999 Ext: 77031
Addresses
Street Address
1301 W. 38th St. Suite 103
Austin, TX 78705
Billing Address
Ascension Seton Medical Center Austin
1201 W 38th St.
Austin, TX 78705
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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