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CAH451387-03 Uvalde Memorial Hospital (Active)
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Main Details
Name
Uvalde Memorial Hospital
Subdivision Name
UMH HEMATOLOGY AND MEDICAL ONCOLOGY - Hematology and Oncology
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451387-03
Medicare Provider Number
451387
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/4/2021
Participating Start Date
10/12/2021
Participating Approval Date
10/7/2021
Last Recertification Date
9/2/2024
Contacts
Authorizing Official
Uvalde Memorial Hospital
Terri Contreras, Chief Financial Officer
(830) 278-6251 Ext: 1283
Primary Contact
Uvalde Memorial Hospital
ASHISH PUNALEKAR, PHARMACIST
(830) 278-6251 Ext: 1138
Addresses
Street Address
1195 GARNER FIELD RD
STE 200
UVALDE, TX 78801-4822
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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