340B Drug Pricing Program Database
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SCH280125-00 FAITH REGIONAL HEALTH SERVICES (Active)
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Main Details
Name
FAITH REGIONAL HEALTH SERVICES
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH280125-00
Medicare Provider Number
280125
Additional Details
Current Program Status
Active
Registration Date
7/15/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/27/2024
Last Recertification Date
Contacts
Authorizing Official
Faith Regional Health Services
Brian L. Blecher, Chief Operating Officer
(402) 644-7536
Primary Contact
Faith Regional Health Services
Chad William Maas, Pharmacy Manager
(402) 844-8299
Addresses
Street Address
1500 KOENIGSTEIN AVE
NORFOLK, NE 68701
Billing Address
Faith Regional Health Services
1500 Koenigstein Ave
PO Box 869
Norfolk, NE 68702-0869
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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