340B Drug Pricing Program Database
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DSH450154L Val Verde Regional Medical Center (Terminated)
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Main Details
Name
Val Verde Regional Medical Center
Subdivision Name
VAL VERDE HOSPITAL CORPORATION - Endocrinology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450154L
Medicare Provider Number
450154
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/8/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/3/2021
Last Recertification Date
8/29/2022
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Val Verde Regional Medical Center
Linda Sue Walker, Chief Executive Officer
(830) 703-1749
Primary Contact
Val Verde Regional Medical Center
Irma Maria Chapa, Director of Pharmcy
(830) 778-3873
Addresses
Street Address
3809 VETERANS BLVD
DEL RIO, TX 78840-2860
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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