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CAH451390-01 DIMMIT REGIONAL HOSPITAL DISTRICT (Active)
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Main Details
Name
DIMMIT REGIONAL HOSPITAL DISTRICT
Subdivision Name
DIMMIT REGIONAL HOSPITAL - Dimmit Regional Hospital Rural Health Clinic (Crystal City)
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH451390-01
Medicare Provider Number
451390
Outpatient Facility Provider Number
678561
Additional Details
Current Program Status
Active
Registration Date
7/6/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/13/2023
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Dimmit Regional Hospital
Andres Duran, CEO
(830) 876-2424 Ext: 300
Primary Contact
Dimmit Regional Hospital
Alfonso Ortiz, Director of Grants & Supplemental Funding/EEOC
(830) 876-2424 Ext: 305
Addresses
Street Address
1313 VETERANS AVE
STE A
CRYSTAL CITY, TX 78839-1651
Billing Address
Dimmit Regional Hospital
704 Hospital Drive
Carrizo Springs, TX 78834
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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