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ASCENSION SETON SPECIALTY CARE CENTER PH
DSH450056 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
Type
Disproportionate Share Hospital
340B ID
DSH450056
Entity Address
1201 WEST 38TH STREET
AUSTIN, TX 78705
Medicare Provider Number
450056
Participating Start Date
4/1/2017
Last Recertification Date
8/19/2024
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
7/16/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2021
Business decision by covered entity and/or pharmacy
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
7/16/2020
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