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DSH150021HE Parkview Hospital (Active)
Main Details
Name
Parkview Hospital
Subdivision Name
PRMC Gastroenterology - GI
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150021HE
Medicare Provider Number
150021
Outpatient Facility Provider Number
Contacts
Authorizing Official
Parkview Health
Jeanne Wickens, CFO
(260) 373-8407
Primary Contact
Parkview Health
Stephanie Dickmeyer, 340B Program Supervisor
(260) 266-4408
Additional Details
Current Program Status
Active
Registration Date
1/16/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/26/2024
Last Recertification Date
Addresses
Street Address
11104 Parkview Circle Dr Suite 310
Fort Wayne, IN 46845
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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