340B Drug Pricing Program Database
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DSH450015DS DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH (Terminated)
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Main Details
Name
DALLAS COUNTY HOSPITAL DISTRICT dba PARKLAND HEALTH
Subdivision Name
COVID Outpatient Follow Up Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450015DS
Medicare Provider Number
450015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2021
Participating Start Date
10/1/2021
Participating Approval Date
8/23/2021
Last Recertification Date
9/1/2023
Termination Date
Termination Reason
7/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Parkland Health
Vivian B. Johnson, Senior Vice President
(469) 419-1946
Primary Contact
Parkland Health
Mayank Shah, Pharmacy 340B Program Manager
(469) 419-1964
Addresses
Street Address
5184 Tex Oak Avenue
Dallas, TX 75235
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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