340B Drug Pricing Program Database
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DSH170122BD Ascension Via Christi Hospitals Wichita, Inc (Active)
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Main Details
Name
Ascension Via Christi Hospitals Wichita, Inc
Subdivision Name
ASCENSION VIA HOSP WICHI INC - Rheumatology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH170122BD
Medicare Provider Number
170122
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/3/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/11/2024
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Ascension Via Christi
Todd Schroeder, VP Pharmacy
(316) 268-5580
Primary Contact
Ascension Via Christi Hospitals Wichita, Inc.
Sarah E Dodson, 340B Program Director
(316) 202-8759
Addresses
Street Address
1515 S CLIFTON AVE STE 205
ASCENSION VIA CHRISTI HOSPITALS
WICHITA, KS 67218-2958
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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