340B Drug Pricing Program Database
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DSH150021JC Parkview Hospital (Terminated)
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Main Details
Name
Parkview Hospital
Subdivision Name
PBH LAB - Laboratory
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150021JC
Medicare Provider Number
150021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/31/2024
Last Recertification Date
Termination Date
Termination Reason
4/1/2025
Never implemented the 340B Program
Contacts
Authorizing Official
Parkview Health System
Stanton Risser, Assoc Chief Financial Officer
(260) 266-9313
Primary Contact
Parkview Health
Stephanie Dickmeyer, 340B Program Supervisor
(260) 266-4408
Addresses
Street Address
1720 Beacon Street
Fort Wayne, IN 46805
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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