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ASCENSION SETON SPECIALTY CARE CENTER PH
DSH450056C Ascension Seton d/b/a Ascension Seton Medical Center Austin
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Covered Entity Details
Entity Name
Ascension Seton d/b/a Ascension Seton Medical Center Austin
Subdivision Name
Seton Mind Institute-Cancer Care Collaborative - Cancer Care Collaborative
Type
Disproportionate Share Hospital
340B ID
DSH450056C
Entity Address
1301 W. 38th St. Suite 103
Austin, TX 78705
Medicare Provider Number
450056
Outpatient Facility Provider Number
Participating Start Date
10/1/2020
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
ASCENSION SETON SPECIALTY CARE CENTER PH
Pharmacy Address
1601 TRINITY ST STOP 804
STE 804 RM 82002
AUSTIN, TX 78712-1866
Pharmacy Comments
Contract Details
Approval Date
9/9/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Tad Allen Hatton, VP/COO
(512) 484-3507
Contract Pharmacy Representative
Seton Healthcare Family
Shewan M Aziz, Senior Director of Pharmacy
(512) 324-7303
Signed By Date
7/15/2020
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