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DSH450143 ASCENSION SETON SMITHVILLE (Terminated)
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Main Details
Name
ASCENSION SETON SMITHVILLE
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450143
Medicare Provider Number
450143
Additional Details
Current Program Status
Terminated
Registration Date
1/18/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/20/2022
Last Recertification Date
8/21/2024
Termination Date
Termination Reason
4/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Ascension Seton Smithville
Jace D Jones, Authorizing Official
(512) 237-5777
Primary Contact
Ascension Health
Rodrigo Rodriguez, 340B Program Director
(512) 324-9999 Ext: 77031
Addresses
Street Address
1201 Hill Rd
SMITHVILLE, TX 78957
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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