340B Drug Pricing Program Database


DSH260048L Truman Medical Center, Incorporated dba University Health Truman Medical Center (Active) - information as of 6/17/2025 3:31:47 AM

Main Details
Truman Medical Center, Incorporated dba University Health Truman Medical Center
University Health Oral & Maxillofacial Surgery Clinic
Disproportionate Share Hospital
No
DSH260048L
260048
260048


Additional Details
Active
7/10/2014
10/1/2014
8/29/2014
8/19/2024

Contacts

University Health
John Wilson, Chief Financial Officer
(816) 404-2544

University Health
Linus Paul Orth, 340B Program Manager
(816) 404-4177

Addresses

2101 Charlotte Street
3rd Floor, Ste 350
Kansas City, MO 64108

Truman Medical Centers, Inc.
2301 Holmes Street
Kansas City, MO 64108


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
MO010322709,6000272821467595793,1386015709,1033882683
KS300039042100041386015709,1467595793,1033882683
AL 1386015709,1467595793,1033882683
AK 1386015709,1467595793,1033882683
AS 1386015709,1467595793,1033882683
AZ 1386015709,1467595793,1033882683
AR 1386015709,1467595793,1033882683
CA 1386015709,1467595793,1033882683
CO 1386015709,1467595793,1033882683
CT 1386015709,1467595793,1033882683
DE 1386015709,1467595793,1033882683
DC 1386015709,1467595793,1033882683
FM 1386015709,1467595793,1033882683
FL 1386015709,1467595793,1033882683
GA 1386015709,1467595793,1033882683
GU 1386015709,1467595793,1033882683
HI 1386015709,1467595793,1033882683
ID 1386015709,1467595793,1033882683
IL 1386015709,1467595793,1033882683
IN 1386015709,1467595793,1033882683
IA 1386015709,1467595793,1033882683
KY 1386015709,1467595793,1033882683
LA 1386015709,1467595793,1033882683
ME 1386015709,1467595793,1033882683
MH 1386015709,1467595793,1033882683
MD 1386015709,1467595793,1033882683
MA 1386015709,1467595793,1033882683
MI 1386015709,1467595793,1033882683
MN 1386015709,1467595793,1033882683
MS 1386015709,1467595793,1033882683
MT 1386015709,1467595793,1033882683
NE 1386015709,1467595793,1033882683
NV 1386015709,1467595793,1033882683
NH 1386015709,1467595793,1033882683
NJ 1386015709,1467595793,1033882683
NM 1386015709,1467595793,1033882683
NC 1386015709,1467595793,1033882683
ND 1386015709,1467595793,1033882683
NY 1386015709,1467595793,1033882683
MP 1386015709,1467595793,1033882683
OH 1386015709,1467595793,1033882683
OK 1386015709,1467595793,1033882683
OR 1386015709,1467595793,1033882683
PW 1386015709,1467595793,1033882683
PA 1386015709,1467595793,1033882683
PR 1386015709,1467595793,1033882683
RI 1386015709,1467595793,1033882683
SC 1386015709,1467595793,1033882683
SD 1386015709,1467595793,1033882683
TN 1386015709,1467595793,1033882683
TX 1386015709,1467595793,1033882683
UT 1386015709,1467595793,1033882683
VT 1386015709,1467595793,1033882683
VI 1386015709,1467595793,1033882683
VA 1386015709,1467595793,1033882683
WA 1386015709,1467595793,1033882683
WV 1386015709,1467595793,1033882683
WI 1386015709,1467595793,1033882683
WY 1386015709,1467595793,1033882683
Shipping Addresses

Truman Medical Centers, Inc - University Health Pharmacy
2101 Charlotte Street
Kansas City, MO 64108

Truman Medical Centers, Inc.
2301 Holmes Street
Kansas City, MO 64108
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH260048AChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Behavioral Health Ambulatory Psychiatry Clinic for Adults300 West 19th TerraceKansas CityMOActive
DSH260048AAChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health 1 Operating Room2101 Charlotte StreetKansas CityMOActive
DSH260048ABChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Primary Care Internal Medicine2211 Charlotte StreetKansas CityMOActive
DSH260048ACChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Women's Care Center for High-Risk Pregnancy & OB/GYN Specialty Care2211 Charlotte StreetKansas CityMOActive
DSH260048ADChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Women's Care Breast Health Center2101 Charlotte StreetKansas CityMOActive
DSH260048AEChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Plastic and Reconstructive Surgery Center2101 Charlotte StreetKansas CityMOActive
DSH260048AFChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Dermatology2101 Charlotte StreetKansas CityMOActive
DSH260048AGChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Pain Management2101 Charlotte StreetKansas CityMOActive
DSH260048AHChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Community Care Linwood3130 Mersington AveKansas CityMOActive
DSH260048AJChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Wound Care2301 Holmes StreetKansas CityMOActive
DSH260048AKChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Women’s Care2211 Charlotte StreetKansas CityMOActive
DSH260048ALChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Anticoagulation Clinic2310 Holmes StreetKansas CityMOActive
DSH260048AMChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Primary Care Center for Primary Care2211 Charlotte StreetKansas CityMOActive
DSH260048ANChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Women’s Care Prenatal Ultrasound2211 Charlotte StreetKansas CityMOActive
DSH260048APChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Behavioral Health Crossroads Counseling300 West 19th TerraceKansas CityMOActive
DSH260048AQChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Truman Medical Center - University Health Primary Care Weight Management2301 Charlotte StreetKansas CityMOActive
DSH260048ARChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health 3 COVID Station - Covid Station2211 Charlotte StreetKansas CityMOTerminated
DSH260048ASChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health 2 COVID Vaccine - Covid Vaccine2211 Charlotte StreetKansas CityMOTerminated
DSH260048ATChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Sports Medicine - Sports Medicine2211 Charlotte StreetKansas CityMOActive
DSH260048AUChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Infusion Clinic - Infusion2310 Holmes StreetKansas CityMOActive
DSH260048BChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Behavioral Health The Center for Recovery and Wellness2020 Charlotte StreetKansas CityMOActive
DSH260048CChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterACO Medication Clinic300 W. 19th TerraceKansas CityMOTerminated
DSH260048DChildDSHTRUMAN MEDICAL CENTER HOSPITAL HILLHelen Gragg Clinic - Operation Breakthrough3039 TroostKansas CityMOTerminated
DSH260048EChildDSHTRUMAN MEDICAL CENTER HOSPITAL HILLCenter for Behavioral Medicine-Emergency Department1000 E 24th St.Kansas CityMOTerminated
DSH260048FChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health 3 Medical Pavilion2301 Charlotte StreetKansas CityMOActive
DSH260048GChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterRichard & Annette Bloch Cancer Center at University Health2310 Holmes StreetKansas CityMOActive
DSH260048HChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Diabetes, Endocrinology & Nephrology Center2310 Holmes StreetKansas CityMOActive
DSH260048JChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Ophthalmology Clinic2101 Charlotte StreetKansas CityMOActive
DSH260048KChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Podiatry Clinic2310 Holmes StreetKansas CityMOActive
DSH260048LChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Oral & Maxillofacial Surgery Clinic2101 Charlotte StreetKansas CityMOActive
DSH260048MChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Ear, Nose & Throat Clinic2101 Charlotte StreetKansas CityMOActive
DSH260048NChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Audiology Clinic2101 Charlotte StreetKansas CityMOActive
DSH260048PChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health 3 Observation2301 Charlotte StreetKansas CityMOActive
DSH260048QChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Truman Medical Center Medical Imaging2301 Holmes StreetKansas CityMOActive
DSH260048RChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Behavioral Health Ambulatory Psychiatry Clinic for Children300 West 19th TerraceKansas CityMOActive
DSH260048SChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Orthopedics2101 Charlotte StreetKansas CityMOActive
DSH260048TChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Urology Clinic2101 Charlotte StreetKansas CityMOActive
DSH260048UChildDSHTruman Medical Center, Inc. - Hospital HillGood Samaritan Clinic3030 Walnut StreetKansas CityMOTerminated
DSH260048VChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Ophthalmology Surgery2101 Charlotte StreetKansas CityMOTerminated
DSH260048WChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Ophthalmology Anesthesia2101 Charlotte StreetKansas CityMOTerminated
DSH260048XChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Medical Imaging UH12101 Charlotte StreetKansas CityMOActive
DSH260048YChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Operating Room Anesthesia2101 Charlotte StreetKansas CityMOActive
DSH260048ZChildDSHTruman Medical Center, Incorporated dba University Health Truman Medical CenterUniversity Health Operating Room Recovery2101 Charlotte StreetKansas CityMOActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification8/21/2023 11:57:33 AM8/19/2024 1:44:32 PM8/19/2024 1:44 PM
DetailsLast Recertification DateUpdateRecertification9/5/2022 9:31:12 AM8/21/2023 11:57:33 AM8/21/2023 11:57 AM
Medicaid BillingMedicaid: NumberDeleteChange Request100100040B (KS) 2/28/2023 5:07 PM
Medicaid BillingMedicaid: NumberDeleteChange RequestP10000360184 (KS) 2/28/2023 5:07 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1329266 (KS) 2/28/2023 5:07 PM
Medicaid BillingMedicaid: NumberDeleteChange Request1472342 (KS) 2/28/2023 5:07 PM
Medicaid BillingMedicaid: NumberDeleteChange RequestPDZ0000002080 (KS) 2/28/2023 5:07 PM
ContactsPrimary ContactUpdateProfile Change RequestOrth, Linus Paul 340B Program Manager Truman Medical Center, Incorporated dba University Health Truman Medical Center 8165470802Orth, Linus Paul 340B Program Manager University Health 816404417712/6/2022 6:43 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False9/28/2022 4:04 PM
Medicaid BillingMedicaid: NumberInsertChange Request 300039042100049/28/2022 4:04 PM
Medicaid BillingMedicaid: StateInsertChange Request KS9/28/2022 4:04 PM
ContactsPrimary ContactUpdateRecertificationZweerink, Kenneth Scott System Director of Outpatient Prescription Services/340B Program Leadership Truman Medical Centers 8164044223Orth, Linus Paul 340B Program Manager Truman Medical Center, Incorporated dba University Health Truman Medical Center 81654708029/5/2022 9:31 AM
DetailsLast Recertification DateUpdateRecertification8/26/2021 4:35:14 PM9/5/2022 9:31:12 AM9/5/2022 9:31 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request KS3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request AL3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request AK3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request AS3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request AZ3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request AR3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request CA3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request CO3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request CT3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request DE3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request DC3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request FM3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request FL3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request GA3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request GU3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request HI3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request ID3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request IL3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request IN3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request IA3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request KY3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request LA3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request ME3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request MH3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request MD3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request MA3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request MI3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request MN3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request MS3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request MT3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request NE3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request NV3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request NH3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request NJ3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request NM3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request NC3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request ND3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request NY3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request MP3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request OH3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request OK3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request OR3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request PW3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request PA3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request PR3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request RI3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request SC3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request SD3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request TN3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request TX3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request UT3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request VT3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request VI3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request VA3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request WA3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request WV3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request WI3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/28/2022 10:55 AM
Medicaid BillingNPI: StateInsertChange Request WY3/28/2022 10:55 AM
Medicaid BillingNPI: NumberInsertChange Request 10338826833/17/2022 11:19 AM
Medicaid BillingNPI: StateInsertChange Request MO3/17/2022 11:19 AM
ContactsAuthorizing OfficialUpdateChange RequestHennenfent, Joel A. Vice President Pharmacy and Professional Health Service Truman Medical Centers 8164044187Wilson, John Chief Financial Officer University Health 816404254412/6/2021 12:30 PM
DetailsEntity NameUpdateChange RequestTruman Medical Center, Inc. - Hospital HillTruman Medical Center, Incorporated dba University Health Truman Medical Center10/13/2021 8:13 AM
DetailsEntity SubnameUpdateChange RequestUniversity Health Oral Surgery ClinicUniversity Health Oral & Maxillofacial Surgery Clinic10/13/2021 7:59 AM
DetailsLast Recertification DateUpdateRecertification9/9/2020 4:39:08 PM8/26/2021 4:35:14 PM8/26/2021 4:35 PM
ContactsAuthorizing OfficialUpdateChange RequestHoelscher, Marga Jean Chief Financial Officer Truman Medical Centers, Inc 8164043540Hennenfent, Joel A. Vice President Pharmacy and Professional Health Service Truman Medical Centers 81640441877/20/2021 8:59 AM
Medicaid BillingNPI: StateUpdateRecertification MO9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification KS9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification KS9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification AL9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification AL9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification AK9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification AK9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification AS9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification AS9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification AZ9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification AZ9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification AR9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification AR9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification CA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification CA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification CO9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification CO9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification CT9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification CT9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification DE9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification DE9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification DC9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification DC9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification FM9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification FM9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification FL9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification FL9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification GA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification GA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification GU9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification GU9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification HI9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification HI9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification ID9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification ID9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification IL9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification IL9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification IN9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification IN9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification IA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification IA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification KY9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification KY9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification LA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification LA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification ME9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification ME9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MH9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MH9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MD9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MD9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MI9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MI9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MN9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MN9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MS9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MS9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MT9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MT9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NE9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NE9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NV9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NV9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NH9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NH9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NJ9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NJ9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NM9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NM9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NC9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NC9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification ND9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification ND9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NY9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification NY9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MP9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification MP9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification OH9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification OH9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification OK9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification OK9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification OR9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification OR9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification PW9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification PW9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification PA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification PA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification PR9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification PR9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification RI9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification RI9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification SC9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification SC9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification SD9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification SD9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification TN9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification TN9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification TX9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification TX9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification UT9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification UT9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification VT9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification VT9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification VI9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification VI9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification VA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification VA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification WA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification WA9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification WV9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification WV9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification WI9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification WI9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 13860157099/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification WY9/9/2020 4:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14675957939/9/2020 4:39 PM
Medicaid BillingNPI: StateInsertRecertification WY9/9/2020 4:39 PM
Medicaid BillingNPI: StateUpdateRecertification MO9/9/2020 4:39 PM
DetailsLast Recertification DateUpdateRecertification9/10/2019 2:19:21 PM9/9/2020 4:39:08 PM9/9/2020 4:39 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestHoelscher, Marga Jean Associate CFO Truman Medical Centers, Inc 8164043540Hoelscher, Marga Jean Chief Financial Officer Truman Medical Centers, Inc 81640435406/17/2020 6:07 PM
AddressesShipping AddressInsertChange Request Truman Medical Centers, Inc. 2301 Holmes Street Kansas City, MO 6410812/11/2019 12:42 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/26/2019 1:41 PM
Medicaid BillingMedicaid: NumberInsertChange Request 100100040B11/26/2019 1:41 PM
Medicaid BillingMedicaid: StateInsertChange Request KS11/26/2019 1:41 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/26/2019 1:41 PM
Medicaid BillingMedicaid: NumberInsertChange Request P1000036018411/26/2019 1:41 PM
Medicaid BillingMedicaid: StateInsertChange Request KS11/26/2019 1:41 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/26/2019 1:41 PM
Medicaid BillingMedicaid: NumberInsertChange Request 132926611/26/2019 1:41 PM
Medicaid BillingMedicaid: StateInsertChange Request KS11/26/2019 1:41 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/26/2019 1:41 PM
Medicaid BillingMedicaid: NumberInsertChange Request 147234211/26/2019 1:41 PM
Medicaid BillingMedicaid: StateInsertChange Request KS11/26/2019 1:41 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False11/26/2019 1:41 PM
Medicaid BillingMedicaid: NumberInsertChange Request PDZ000000208011/26/2019 1:41 PM
Medicaid BillingMedicaid: StateInsertChange Request KS11/26/2019 1:41 PM
DetailsLast Recertification DateUpdateRecertification8/17/2018 10:33:23 AM9/10/2019 2:19:21 PM9/10/2019 2:19 PM
ContactsAuthorizing OfficialUpdateChange RequestDonegan, Lynda Vice President/Professional Health Services Truman Medical Center 8164043528-8164043672Hoelscher, Marga Jean Associate CFO Truman Medical Centers, Inc 81640435407/25/2019 9:35 AM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False4/22/2019 4:25 PM
Medicaid BillingMedicaid: NumberInsertChange Request 0103227094/22/2019 4:25 PM
Medicaid BillingMedicaid: StateInsertChange Request MO4/22/2019 4:25 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False4/22/2019 4:25 PM
Medicaid BillingMedicaid: NumberInsertChange Request 6000272824/22/2019 4:25 PM
Medicaid BillingMedicaid: StateInsertChange Request MO4/22/2019 4:25 PM
DetailsLast Recertification DateUpdateRecertification11/29/2017 7:31:15 PM8/17/2018 10:33:23 AM8/17/2018 10:33 AM
AddressesShipping AddressInsertRecertification Truman Medical Centers, Inc - University Health Pharmacy 2101 Charlotte Street Kansas City, MO 6410811/29/2017 7:31 PM
AddressesBilling AddressUpdateRecertificationTruman Medical Center 2301 Holmes Street Kansas City, MO 64108Truman Medical Centers, Inc. 2301 Holmes Street Kansas City, MO 6410811/29/2017 7:31 PM
DetailsLast Recertification DateUpdateRecertification8/10/2016 12:00:00 AM11/29/2017 7:31:15 PM11/29/2017 7:31 PM
DetailsEntity NameUpdateRecertificationTruman Medical Center, Inc. – Hospital HillTruman Medical Center, Inc. - Hospital Hill11/29/2017 7:30 PM
ContactsAuthorizing OfficialUpdate Donegan, Lynda Vice President/Professional Health Services 8164043528Donegan, Lynda Vice President/Professional Health Services Truman Medical Center 8164043528-81640436729/29/2017 10:24 AM
ContactsSigned ByUpdate Donegan, Lynda Vice President/Professional Health Services 8164043528Donegan, Lynda Vice President/Professional Health Services Truman Medical Center 8164043528-81640436729/29/2017 10:24 AM
ContactsPrimary ContactUpdateProfile Change RequestZweerink, Scott K. System Director of Outpatient Prescription Services/340B Program Leadership Truman Medical Centers 8164044223Zweerink, Kenneth Scott System Director of Outpatient Prescription Services/340B Program Leadership Truman Medical Centers 81640442239/26/2017 11:43 AM
ContactsPrimary ContactUpdate Zweerink, Scott K. System Director of Outpatient Prescription Services/340B Program Leadership 8164044223Zweerink, Scott K. System Director of Outpatient Prescription Services/340B Program Leadership Truman Medical Centers 81640442239/26/2017 11:40 AM
ContactsPrimary ContactInsert  Zweerink, Scott K. System Director of Outpatient Prescription Services/340B Program Leadership 81640442237/25/2017 8:48 AM
ContactsAuthorizing OfficialInsert  Donegan, Lynda Vice President/Professional Health Services 81640435287/25/2017 8:48 AM
ContactsSigned ByInsert  Donegan, Lynda Vice President/Professional Health Services 81640435287/25/2017 8:48 AM
AddressesShipping AddressDelete Truman Medical Center 2101 Charlotte Street Kansas City, MO 64108 7/24/2017 6:23 PM
AddressesMain AddressInsert   2101 Charlotte Street 3rd Floor, Ste 350 Kansas City, MO 641087/24/2017 6:23 PM
AddressesBilling AddressInsert  Truman Medical Center 2301 Holmes Street Kansas City, MO 641087/24/2017 6:23 PM
AddressesShipping AddressInsert  Truman Medical Center 2101 Charlotte Street Kansas City, MO 641087/24/2017 6:23 PM
DetailsEntity SubnameUpdate University Health - Oral Surgery ClinicUniversity Health Oral Surgery Clinic6/27/2017 10:25 AM
Medicaid BillingNPI: NumberInsert  13860157094/11/2017 2:23 PM
DetailsEntity NameUpdate TRUMAN MEDICAL CENTER HOSPITAL HILLTruman Medical Center, Inc. – Hospital Hill4/11/2017 2:23 PM
DetailsEntity SubnameUpdate Diagnostic and Treatment Center-Oral Surgery ClinicUniversity Health - Oral Surgery Clinic4/11/2017 2:23 PM
DetailsLast Recertification DateUpdate 8/17/2015 12:00:00 AM8/10/2016 12:00:00 AM8/10/2016 2:54 PM
DetailsLast Recertification DateUpdate  8/17/2015 12:00:00 AM8/17/2015 9:50 AM
DetailsEntity SubnameUpdate Diagnostic and Treatment Center-Oral Surgery Clinic / Oral Surgery Clinic-5th floorDiagnostic and Treatment Center-Oral Surgery Clinic12/31/2014 3:51 PM
DetailsEntity SubnameUpdate Diagnostic and Treatment Center-Oral Surgery ClinicDiagnostic and Treatment Center-Oral Surgery Clinic / Oral Surgery Clinic-5th floor12/19/2014 2:16 PM
DatesParticipating Approval DateUpdate  8/29/2014 12:00:00 AM8/29/2014 3:17 PM
DetailsStateUpdate PendingActive8/29/2014 3:17 PM
DatesStart DateUpdate  10/1/2014 12:00:00 AM8/29/2014 3:17 PM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_44952DSH260048L8/25/2014 9:36 AM
DetailsEntity SubnameUpdate Oral Surgery ClinicDiagnostic and Treatment Center-Oral Surgery Clinic8/25/2014 9:36 AM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_449527/10/2014 8:38 AM
Medicaid BillingNPI: NumberInsert  14675957937/10/2014 8:38 AM
DetailsLast Recertification DateInsert   7/10/2014 8:38 AM
DetailsGrant NumberInsert   7/10/2014 8:38 AM
Details340B IDInsert   7/10/2014 8:38 AM
DetailsIs Authorizing Official EHB DataInsert   7/10/2014 8:38 AM
DatesLast Date That 340B Drugs PurchasedInsert   7/10/2014 8:38 AM
DetailsMedicare Provider NumberInsert  2600487/10/2014 8:38 AM
DetailsEntity NameInsert  TRUMAN MEDICAL CENTER HOSPITAL HILL7/10/2014 8:38 AM
DetailsProgram CodeInsert  DSH7/10/2014 8:38 AM
DetailsEntity SubnameInsert  Oral Surgery Clinic7/10/2014 8:38 AM
DatesParticipating Approval DateInsert   7/10/2014 8:38 AM
DetailsStateInsert  Pending7/10/2014 8:38 AM
DatesRegistration DateInsert  7/10/2014 12:00:00 AM7/10/2014 8:38 AM
DatesSigned By DateInsert  7/10/2014 12:00:00 AM7/10/2014 8:38 AM
DatesStart DateInsert   7/10/2014 8:38 AM
TerminationsTermination CommentsInsert   7/10/2014 8:38 AM
TerminationsTermination DateInsert   7/10/2014 8:38 AM
TerminationsTermination Effective DateInsert   7/10/2014 8:38 AM
TerminationsTermination ReasonInsert   7/10/2014 8:38 AM