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DSH450010 UNITED REGIONAL HEALTH CARE SYSTEM (Active)
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Main Details
Name
UNITED REGIONAL HEALTH CARE SYSTEM
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH450010
Medicare Provider Number
450010
Additional Details
Current Program Status
Active
Registration Date
10/6/2022
Participating Start Date
1/1/2023
Participating Approval Date
10/24/2022
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
United Regional Health Care System
Robert M. Pert, Chief Financial Officer
(940) 764-3023
Primary Contact
United Regional Health Care System
Nathan Aaron Wooten, Director of Pharmacy
(940) 764-3849
Addresses
Street Address
1600 ELEVENTH STREET
WICHITA FALLS, TX 76301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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