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DSH450213NS UNIVERSITY HEALTH SYSTEM (Active)
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Main Details
Name
UNIVERSITY HEALTH SYSTEM
Subdivision Name
Luckey Ranch ExpressMed
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450213NS
Medicare Provider Number
450213
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/15/2023
Last Recertification Date
9/4/2024
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
11930 W US Highway 90
110
San Antonio, TX 78245
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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