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ASCENSION SETON CENTRAL OUTPATIENT PHARM
DSH450143 ASCENSION SETON SMITHVILLE
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Covered Entity Details
Entity Name
ASCENSION SETON SMITHVILLE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450143
Entity Address
1201 Hill Rd
SMITHVILLE, TX 78957
Medicare Provider Number
450143
Participating Start Date
4/1/2022
Last Recertification Date
8/21/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
ASCENSION SETON CENTRAL OUTPATIENT PHARM
Pharmacy Address
1500 RED RIVER ST
SUITE 14052
AUSTIN, TX 78701
Pharmacy Comments
Contract Details
Approval Date
1/5/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jace D Jones, Authorizing Official
(512) 237-5777
Contract Pharmacy Representative
Seton Family of Hospitals
Brandy McGinnis, Area Dir of Continuity of Care
(512) 745-2291
Signed By Date
1/5/2023
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