Covered Entity Details

DSH260048AT Truman Medical Center, Incorporated dba University Health Truman Medical Center (Active) - information as of 6/6/2025 12:39:15 PM

Main Details

Name

Truman Medical Center, Incorporated dba University Health Truman Medical Center

Subdivision Name

University Health Sports Medicine - Sports Medicine

Type

Disproportionate Share Hospital

Rural

340B ID

DSH260048AT

Medicare Provider Number

260048

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

6/13/2023

Participating Start Date

6/13/2023

Participating Approval Date

6/13/2023

Last Recertification Date

8/19/2024

Contacts

Authorizing Official

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

Primary Contact

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

Addresses

Street Address

2211 Charlotte Street
1st Floor
110
Kansas City, MO 64108

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?
Yes

State	Medicaid Number	NPI Number
MO	600027282,10322709	1386015709,1467595793,1033882683
KS	30003904210004	1386015709,1467595793

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
DSH260048A	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Behavioral Health Ambulatory Psychiatry Clinic for Adults	300 West 19th Terrace	Kansas City	MO	Active
DSH260048AA	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health 1 Operating Room	2101 Charlotte Street	Kansas City	MO	Active
DSH260048AB	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Primary Care Internal Medicine	2211 Charlotte Street	Kansas City	MO	Active
DSH260048AC	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Women's Care Center for High-Risk Pregnancy & OB/GYN Specialty Care	2211 Charlotte Street	Kansas City	MO	Active
DSH260048AD	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Women's Care Breast Health Center	2101 Charlotte Street	Kansas City	MO	Active
DSH260048AE	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Plastic and Reconstructive Surgery Center	2101 Charlotte Street	Kansas City	MO	Active
DSH260048AF	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Dermatology	2101 Charlotte Street	Kansas City	MO	Active
DSH260048AG	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Pain Management	2101 Charlotte Street	Kansas City	MO	Active
DSH260048AH	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Community Care Linwood	3130 Mersington Ave	Kansas City	MO	Active
DSH260048AJ	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Wound Care	2301 Holmes Street	Kansas City	MO	Active
DSH260048AK	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Women’s Care	2211 Charlotte Street	Kansas City	MO	Active
DSH260048AL	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Anticoagulation Clinic	2310 Holmes Street	Kansas City	MO	Active
DSH260048AM	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Primary Care Center for Primary Care	2211 Charlotte Street	Kansas City	MO	Active
DSH260048AN	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Women’s Care Prenatal Ultrasound	2211 Charlotte Street	Kansas City	MO	Active
DSH260048AP	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Behavioral Health Crossroads Counseling	300 West 19th Terrace	Kansas City	MO	Active
DSH260048AQ	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Truman Medical Center - University Health Primary Care Weight Management	2301 Charlotte Street	Kansas City	MO	Active
DSH260048AR	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health 3 COVID Station - Covid Station	2211 Charlotte Street	Kansas City	MO	Terminated
DSH260048AS	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health 2 COVID Vaccine - Covid Vaccine	2211 Charlotte Street	Kansas City	MO	Terminated
DSH260048AT	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Sports Medicine - Sports Medicine	2211 Charlotte Street	Kansas City	MO	Active
DSH260048AU	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Infusion Clinic - Infusion	2310 Holmes Street	Kansas City	MO	Active
DSH260048B	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Behavioral Health The Center for Recovery and Wellness	2020 Charlotte Street	Kansas City	MO	Active
DSH260048C	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	ACO Medication Clinic	300 W. 19th Terrace	Kansas City	MO	Terminated
DSH260048D	Child	DSH	TRUMAN MEDICAL CENTER HOSPITAL HILL	Helen Gragg Clinic - Operation Breakthrough	3039 Troost	Kansas City	MO	Terminated
DSH260048E	Child	DSH	TRUMAN MEDICAL CENTER HOSPITAL HILL	Center for Behavioral Medicine-Emergency Department	1000 E 24th St.	Kansas City	MO	Terminated
DSH260048F	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health 3 Medical Pavilion	2301 Charlotte Street	Kansas City	MO	Active
DSH260048G	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	Richard & Annette Bloch Cancer Center at University Health	2310 Holmes Street	Kansas City	MO	Active
DSH260048H	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Diabetes, Endocrinology & Nephrology Center	2310 Holmes Street	Kansas City	MO	Active
DSH260048J	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Ophthalmology Clinic	2101 Charlotte Street	Kansas City	MO	Active
DSH260048K	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Podiatry Clinic	2310 Holmes Street	Kansas City	MO	Active
DSH260048L	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Oral & Maxillofacial Surgery Clinic	2101 Charlotte Street	Kansas City	MO	Active
DSH260048M	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Ear, Nose & Throat Clinic	2101 Charlotte Street	Kansas City	MO	Active
DSH260048N	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Audiology Clinic	2101 Charlotte Street	Kansas City	MO	Active
DSH260048P	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health 3 Observation	2301 Charlotte Street	Kansas City	MO	Active
DSH260048Q	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Truman Medical Center Medical Imaging	2301 Holmes Street	Kansas City	MO	Active
DSH260048R	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Behavioral Health Ambulatory Psychiatry Clinic for Children	300 West 19th Terrace	Kansas City	MO	Active
DSH260048S	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Orthopedics	2101 Charlotte Street	Kansas City	MO	Active
DSH260048T	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Urology Clinic	2101 Charlotte Street	Kansas City	MO	Active
DSH260048U	Child	DSH	Truman Medical Center, Inc. - Hospital Hill	Good Samaritan Clinic	3030 Walnut Street	Kansas City	MO	Terminated
DSH260048V	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Ophthalmology Surgery	2101 Charlotte Street	Kansas City	MO	Terminated
DSH260048W	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Ophthalmology Anesthesia	2101 Charlotte Street	Kansas City	MO	Terminated
DSH260048X	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Medical Imaging UH1	2101 Charlotte Street	Kansas City	MO	Active
DSH260048Y	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Operating Room Anesthesia	2101 Charlotte Street	Kansas City	MO	Active
DSH260048Z	Child	DSH	Truman Medical Center, Incorporated dba University Health Truman Medical Center	University Health Operating Room Recovery	2101 Charlotte Street	Kansas City	MO	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Main Address	Update	Change Request	2101 Charlotte Street 110 Kansas City, MO 64108	2211 Charlotte Street 1st Floor 110 Kansas City, MO 64108	5/13/2025 6:22 AM
Details	Entity Subname	Update	Change Request	University Health 1 Sports Medicine - Sports Medicine	University Health Sports Medicine - Sports Medicine	5/13/2025 6:22 AM
Details	Last Recertification Date	Update	Recertification	8/21/2023 11:51:57 AM	8/19/2024 1:39:11 PM	8/19/2024 1:39 PM
Details	Last Recertification Date	Update	Recertification		8/21/2023 11:51:57 AM	8/21/2023 11:51 AM
Details	State	Update	OPA Edit	Approved	Active	6/13/2023 4:31 PM
Dates	Start Date	Update	OPA Edit	7/1/2023 12:00:00 AM	6/13/2023 12:00:00 AM	6/13/2023 4:31 PM
Contacts	Signed By	Insert	New Registration		Wilson, John Chief Financial Officer University Health 8164042544	6/13/2023 4:29 PM
Details	340B ID	Update	New Registration		DSH260048AT	6/13/2023 4:29 PM
Details	Entity Name	Update	New Registration	UNIVERSITY HEALTH TRUMAN MED CENTER	Truman Medical Center, Incorporated dba University Health Truman Medical Center	6/13/2023 4:29 PM
Details	Entity Subname	Update	New Registration	University Health 1 Sports Medicine	University Health 1 Sports Medicine - Sports Medicine	6/13/2023 4:29 PM
Dates	Participating Approval Date	Update	New Registration		6/13/2023 4:29:39 PM	6/13/2023 4:29 PM
Details	State	Update	New Registration	Pending	Approved	6/13/2023 4:29 PM
Dates	Signed By Date	Update	New Registration		6/13/2023 12:39:30 PM	6/13/2023 4:29 PM
Dates	Start Date	Update	New Registration		7/1/2023 12:00:00 AM	6/13/2023 4:29 PM
Addresses	Main Address	Insert	New Registration		2101 Charlotte Street 110 Kansas City, MO 64108	6/13/2023 10:59 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	6/13/2023 10:59 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		600027282	6/13/2023 10:59 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		MO	6/13/2023 10:59 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	6/13/2023 10:59 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		10322709	6/13/2023 10:59 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		MO	6/13/2023 10:59 AM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	6/13/2023 10:59 AM
Medicaid Billing	Medicaid: Number	Insert	New Registration		30003904210004	6/13/2023 10:59 AM
Medicaid Billing	Medicaid: State	Insert	New Registration		KS	6/13/2023 10:59 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1386015709	6/13/2023 10:59 AM
Medicaid Billing	NPI: State	Insert	New Registration		MO	6/13/2023 10:59 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1467595793	6/13/2023 10:59 AM
Medicaid Billing	NPI: State	Insert	New Registration		MO	6/13/2023 10:59 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1033882683	6/13/2023 10:59 AM
Medicaid Billing	NPI: State	Insert	New Registration		MO	6/13/2023 10:59 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1386015709	6/13/2023 10:59 AM
Medicaid Billing	NPI: State	Insert	New Registration		KS	6/13/2023 10:59 AM
Medicaid Billing	NPI: Number	Insert	New Registration		1467595793	6/13/2023 10:59 AM
Medicaid Billing	NPI: State	Insert	New Registration		KS	6/13/2023 10:59 AM
Contacts	Authorizing Official	Insert	New Registration		Wilson, John Chief Financial Officer University Health 8164042544	6/13/2023 10:59 AM
Contacts	Primary Contact	Insert	New Registration		Orth, Linus Paul 340B Program Manager University Health 8164044177	6/13/2023 10:59 AM
Details	Assistance Received From Date	Insert	New Registration			6/13/2023 10:59 AM
Details	Assistance Received To Date	Insert	New Registration			6/13/2023 10:59 AM
Details	Last Recertification Date	Insert	New Registration			6/13/2023 10:59 AM
Details	Grant Number	Insert	New Registration			6/13/2023 10:59 AM
Details	340B ID	Insert	New Registration			6/13/2023 10:59 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			6/13/2023 10:59 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			6/13/2023 10:59 AM
Details	Medicare Provider Number	Insert	New Registration		260048	6/13/2023 10:59 AM
Details	Entity Name	Insert	New Registration		UNIVERSITY HEALTH TRUMAN MED CENTER	6/13/2023 10:59 AM
Details	NOFO Number	Insert	New Registration			6/13/2023 10:59 AM
Details	Program Code	Insert	New Registration		DSH	6/13/2023 10:59 AM
Details	Entity Subname	Insert	New Registration		University Health 1 Sports Medicine	6/13/2023 10:59 AM
Dates	Participating Approval Date	Insert	New Registration			6/13/2023 10:59 AM
Details	State	Insert	New Registration		Pending	6/13/2023 10:59 AM
Dates	Registration Date	Insert	New Registration		6/13/2023 10:59:57 AM	6/13/2023 10:59 AM
Dates	Signed By Date	Insert	New Registration			6/13/2023 10:59 AM
Dates	Start Date	Insert	New Registration			6/13/2023 10:59 AM
Terminations	Termination Comments	Insert	New Registration			6/13/2023 10:59 AM
Terminations	Termination Date	Insert	New Registration			6/13/2023 10:59 AM
Terminations	Termination Effective Date	Insert	New Registration			6/13/2023 10:59 AM
Terminations	Termination Reason	Insert	New Registration			6/13/2023 10:59 AM

340B Drug Pricing Program Database

Comments

Medicaid Billing

Shipping Addresses

Contract Pharmacies

Parent/Child

History