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DSH450213NM UNIVERSITY HEALTH SYSTEM (ToBeTerminated)
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Main Details
Name
UNIVERSITY HEALTH SYSTEM
Subdivision Name
Dominion Crossing - Endocrinology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450213NM
Medicare Provider Number
450213
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
7/14/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/13/2023
Last Recertification Date
8/20/2024
Termination Date
Termination Reason
7/1/2025
Business decision by the Covered Entity
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
Ste 103
San Antonio, TX 78257
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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