340B Drug Pricing Program Database
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SCH450539-05 COVENANT HOSPITAL PLAINVIEW (Active)
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Main Details
Name
COVENANT HOSPITAL PLAINVIEW
Subdivision Name
METHODIST HOSPITAL PLAINVIEW TEXAS - Covenant West Texas Family Medicine Plainview RHC
Type
Sole Community Hospital
Rural
No
340B ID
SCH450539-05
Medicare Provider Number
450539
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2022
Participating Start Date
4/1/2022
Participating Approval Date
2/10/2022
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Covenant Health
Cora Rivera, CFO
(806) 725-6547
Primary Contact
Covenant Health
Christine Farmer, Regional Executive Director of 340B Operations
(806) 725-6654
Addresses
Street Address
1806 QUINCY ST
COVENANT WEST TEXAS FAMILY MEDICINE
PLAINVIEW, TX 79072-4206
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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