340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH160153 MERCYONE SIOUXLAND MEDICAL CENTER (Active)
Print
Main Details
Name
MERCYONE SIOUXLAND MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH160153
Medicare Provider Number
160153
Additional Details
Current Program Status
Active
Registration Date
1/6/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/17/2025
Last Recertification Date
Contacts
Authorizing Official
MercyOne
Jesica Hanson, VP of Finance
(712) 279-5850
Primary Contact
MercyOne
Brett Bieber, Director of Pharmacy
(712) 279-5992
Addresses
Street Address
801 FIFTH STREET
SIOUX CITY, IA 51101
Billing Address
MercyOne Siouxland Medical Center
801 Fifth Street
PO Box 203
Sioux City, IA 51101
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session