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DSH450101V HILLCREST BAPTIST MEDICAL CENTER (Active)
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Main Details
Name
HILLCREST BAPTIST MEDICAL CENTER
Subdivision Name
MOB3 MRI - WAH3 MRI
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450101V
Medicare Provider Number
450101
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2022
Participating Start Date
4/1/2022
Participating Approval Date
3/2/2022
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Baylor Scott & White Medical Center - Hillcrest
Shellie Mach, CFO
(254) 202-9414
Primary Contact
Baylor Scott & White Medical Center - Hillcrest
Rosie Rosatti, Pharmacist 3
(512) 522-7337
Addresses
Street Address
140 HILLCREST MEDICAL BLVD
WACO, TX 76712
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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