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DSH450163B CHRISTUS SPOHN HOSPITAL KLEBERG (Active)
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Main Details
Name
CHRISTUS SPOHN HOSPITAL KLEBERG
Subdivision Name
CHRISTUS SPOHN COLSTON FAMILY REHAB - Rehab & Wellness Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450163B
Medicare Provider Number
450163
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/16/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/1/2023
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
CHRISTUS Spohn
Becky Rios, Interim CFO
(361) 881-3157
Primary Contact
CHRISTUS Spohn Region
Noreen Adame, Lead Pharmacy Buyer
(361) 902-4326
Addresses
Street Address
1307 E GENERAL CAVAZOS BLVD
KINGSVILLE, TX 78363-7130
Billing Address
CHRISTUS SPOHN HOSPITAL KLEBERG
1311 E. GENERAL CAVAZOS BLVD
KINGSVILLE, TX 78363
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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