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DSH450213NP UNIVERSITY HEALTH SYSTEM (Active)
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Main Details
Name
UNIVERSITY HEALTH SYSTEM
Subdivision Name
Dominion Crossing Cardiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450213NP
Medicare Provider Number
450213
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/13/2023
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
University Health
Christopher Reed Hurley, CFO
(210) 415-5321
Primary Contact
University Health System
Christopher Randal Schexnayder, Executive Director of Support Services
(504) 908-2188
Addresses
Street Address
21727 IH 10 West
107
San Antonio, TX 78257
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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