Covered Entity Details

DSH080003K ST FRANCIS HOSPITAL, INC (Active) - information as of 5/26/2025 12:57:25 AM

Main Details

Name

ST FRANCIS HOSPITAL, INC

Subdivision Name

ST FRANCIS HOSPITAL INC - OB/GYN

Type

Disproportionate Share Hospital

Rural

340B ID

DSH080003K

Medicare Provider Number

080003

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

10/15/2020

Participating Start Date

1/1/2021

Participating Approval Date

11/4/2020

Last Recertification Date

8/14/2024

Contacts

Authorizing Official

Trinity Health Mid-Atlantic
Kimberly Cummings, Chief Financial Officer
(215) 710-2508

Primary Contact

Trinity Health Mid Atlantic
Alicia Hayter, 340B Program Manager
(610) 368-3675

Addresses

Street Address

532 GREENHILL AVE
ST FRANCIS WOMENS CENTER
WILMINGTON, DE 19805-1851

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH080003B	Child	DSH	ST FRANCIS HOSPITAL, INC	Women to Women	1806 North Van Buren Street	Wilmington	DE	Terminated
DSH080003C	Child	DSH	ST FRANCIS HOSPITAL, INC	Sacred Heart Clinic	915 North Madison Street	Wilmington	DE	Terminated
DSH080003D	Child	DSH	ST FRANCIS HOSPITAL, INC	OB GYN Center - N. Wilmington	2002 Foulk Road, Suite A	Wilmington	DE	Terminated
DSH080003E	Child	DSH	ST FRANCIS HOSPITAL, INC	The Woman's Place	1100 North Grant Avenue	Wilmington	DE	Terminated
DSH080003F	Child	DSH	ST FRANCIS HOSPITAL, INC	Center of Hope	1220 Capitol Trail	Newark	DE	Terminated
DSH080003G	Child	DSH	ST FRANCIS HOSPITAL, INC	St Clare Van	701 North Clayton Street	Wilmington	DE	Terminated
DSH080003H	Child	DSH	ST FRANCIS HOSPITAL, INC	Delaware Family Medicine	2323 Pennsylvania Avenue, 2nd floor	Wilmington	DE	Terminated
DSH080003J	Child	DSH	ST FRANCIS HOSPITAL, INC	ST FRANCIS HOSPITAL INC - OB/GYN	620 STANTON CHRISTIANA RD	NEWARK	DE	Terminated
DSH080003K	Child	DSH	ST FRANCIS HOSPITAL, INC	ST FRANCIS HOSPITAL INC - OB/GYN	532 GREENHILL AVE	WILMINGTON	DE	Active
DSH080003L	Child	DSH	ST FRANCIS HOSPITAL, INC	ST FRANCIS HOSPITAL INC - Delaware Family Medicine	2002 FOULK RD, STE D	WILMINGTON	DE	Terminated
DSH080003M	Child	DSH	ST FRANCIS HOSPITAL, INC	ST FRANCIS HOSPITAL INC - Center of Hope	620 STANTON CHRISTIANA RD, STE 302	NEWARK	DE	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	9/8/2023 11:15:45 AM	8/14/2024 12:50:44 PM	8/14/2024 12:50 PM
Contacts	Authorizing Official	Update	Change Request	Cullom, Christopher A. President Mercy Catholic Medical Center 6102375677	Cummings, Kimberly Chief Financial Officer Trinity Health Mid-Atlantic 2157102508	9/11/2023 2:15 PM
Contacts	Primary Contact	Update	Recertification	Faust, Megan 340B coordinator St.Francis Hospital 3024214232	Hayter, Alicia 340B Program Manager Trinity Health Mid Atlantic 6103683675	9/8/2023 11:15 AM
Details	Last Recertification Date	Update	Recertification	8/24/2022 9:22:36 AM	9/8/2023 11:15:45 AM	9/8/2023 11:15 AM
Contacts	Authorizing Official	Update	Change Request	Templeton, Stephanie Director of Financial Operations St Francis Hospital, Inc. 3025758365	Cullom, Christopher A. President Mercy Catholic Medical Center 6102375677	1/23/2023 7:20 AM
Details	Last Recertification Date	Update	Recertification	8/18/2021 8:05:06 AM	8/24/2022 9:22:36 AM	8/24/2022 9:22 AM
Details	Last Recertification Date	Update	Recertification		8/18/2021 8:05:06 AM	8/18/2021 8:05 AM
Contacts	Authorizing Official	Update	Change Request	Szafran, Dale Director of Financial Operations St. Francis Hospital 3024214665	Templeton, Stephanie Director of Financial Operations St Francis Hospital, Inc. 3025758365	5/21/2021 7:34 PM
Details	State	Update		Approved	Active	1/1/2021 12:01 AM
Contacts	Signed By	Insert	New Registration		Szafran, Dale Director of Financial Operations St. Francis Hospital 3024214665	11/4/2020 8:04 AM
Details	340B ID	Update	New Registration		DSH080003K	11/4/2020 8:04 AM
Details	Entity Name	Update	New Registration	ST. FRANCIS HOSPITAL WILMINGTON	ST FRANCIS HOSPITAL, INC	11/4/2020 8:04 AM
Details	Entity Subname	Update	New Registration	ST FRANCIS HOSPITAL INC	ST FRANCIS HOSPITAL INC - OB/GYN	11/4/2020 8:04 AM
Dates	Participating Approval Date	Update	New Registration		11/4/2020 8:04:57 AM	11/4/2020 8:04 AM
Details	State	Update	New Registration	Pending	Approved	11/4/2020 8:04 AM
Dates	Signed By Date	Update	New Registration		11/3/2020 9:12:12 AM	11/4/2020 8:04 AM
Dates	Start Date	Update	New Registration		1/1/2021 12:00:00 AM	11/4/2020 8:04 AM
Addresses	Main Address	Insert	New Registration		532 GREENHILL AVE ST FRANCIS WOMENS CENTER WILMINGTON, DE 19805-1851	10/15/2020 5:51 PM
Contacts	Primary Contact	Insert	New Registration		Faust, Megan 340B coordinator St.Francis Hospital 3024214232	10/15/2020 5:51 PM
Contacts	Authorizing Official	Insert	New Registration		Szafran, Dale Director of Financial Operations St. Francis Hospital 3024214665	10/15/2020 5:51 PM
Details	Assistance Received From Date	Insert	New Registration			10/15/2020 5:51 PM
Details	Assistance Received To Date	Insert	New Registration			10/15/2020 5:51 PM
Details	Last Recertification Date	Insert	New Registration			10/15/2020 5:51 PM
Details	Grant Number	Insert	New Registration			10/15/2020 5:51 PM
Details	340B ID	Insert	New Registration			10/15/2020 5:51 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			10/15/2020 5:51 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			10/15/2020 5:51 PM
Details	Medicare Provider Number	Insert	New Registration		080003	10/15/2020 5:51 PM
Details	Entity Name	Insert	New Registration		ST. FRANCIS HOSPITAL WILMINGTON	10/15/2020 5:51 PM
Details	NOFO Number	Insert	New Registration			10/15/2020 5:51 PM
Details	Program Code	Insert	New Registration		DSH	10/15/2020 5:51 PM
Details	Entity Subname	Insert	New Registration		ST FRANCIS HOSPITAL INC	10/15/2020 5:51 PM
Dates	Participating Approval Date	Insert	New Registration			10/15/2020 5:51 PM
Details	State	Insert	New Registration		Pending	10/15/2020 5:51 PM
Dates	Registration Date	Insert	New Registration		10/15/2020 5:51:18 PM	10/15/2020 5:51 PM
Dates	Signed By Date	Insert	New Registration			10/15/2020 5:51 PM
Dates	Start Date	Insert	New Registration			10/15/2020 5:51 PM
Terminations	Termination Comments	Insert	New Registration			10/15/2020 5:51 PM
Terminations	Termination Date	Insert	New Registration			10/15/2020 5:51 PM
Terminations	Termination Effective Date	Insert	New Registration			10/15/2020 5:51 PM
Terminations	Termination Reason	Insert	New Registration			10/15/2020 5:51 PM