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CAH451365-05 Ascension Seton d/b/a Ascension Seton Highland Lakes (Active)
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Main Details
Name
Ascension Seton d/b/a Ascension Seton Highland Lakes
Subdivision Name
ASCENSION SETON - SHL RHC BERTRAM HEALTHCARE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451365-05
Medicare Provider Number
451365
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/23/2020
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Seton Healthcare Family
Karen Litterer, VP-COO SHL
(512) 715-3008
Primary Contact
Ascension Health
Rodrigo Rodriguez, 340B Program Director
(512) 324-9999 Ext: 77031
Addresses
Street Address
160 N LAMPASAS ST
BERTRAM, TX 78605-4323
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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