340B Drug Pricing Program Database
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DSH450431BE 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
Heart Hospital of Austin - EP
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450431BE
Medicare Provider Number
450431
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/6/2020
Participating Start Date
1/1/2021
Participating Approval Date
11/3/2020
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
3801 N Lamar Blvd
Austin, TX 78756
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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