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CAH451397-00 SCOTT & WHITE HOSPITAL BRENHAM (Active)
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Main Details
Name
SCOTT & WHITE HOSPITAL BRENHAM
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451397-00
Medicare Provider Number
451397
Additional Details
Current Program Status
Active
Registration Date
7/19/2022
Participating Start Date
7/29/2022
Participating Approval Date
7/25/2022
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Scott & White Hospital Brenham
Jason Jennings, President
(979) 207-4043
Primary Contact
Scott & White Hospital Brenham
Jeshvi Manhar, Pharmacy Manager
(979) 337-5072
Addresses
Street Address
700 MEDICAL PARKWAY
Brenham, TX 77833
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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