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HEALTHCARE CENTER PHARMACY
DSH190019 CHRISTUS ST FRANCES CABRINI HOSPITAL
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Covered Entity Details
Entity Name
CHRISTUS ST FRANCES CABRINI HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH190019
Entity Address
3330 MASONIC DRIVE
ALEXANDRIA, LA 71301
Medicare Provider Number
190019
Participating Start Date
4/1/2006
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
HEALTHCARE CENTER PHARMACY
Pharmacy Address
2604 ST MICHAEL DRIVE, SUITE 200
TEXARKANA, TX 75503
Pharmacy Comments
Contract Details
Approval Date
1/23/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/10/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nancy Hellyer, CEO
(318) 561-7173
Contract Pharmacy Representative
CHRISTUS St. Michael Health System
Helen Pennington, Pharmacist in Charge
(903) 614-2215
Signed By Date
1/23/2016
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