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DSH170074B STORMONT VAIL HEALTH, FLINT HILLS LLC (Active)
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Main Details
Name
STORMONT VAIL HEALTH, FLINT HILLS LLC
Subdivision Name
STORMONT VAIL HILLS LLC - RHC WALK-IN CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH170074B
Medicare Provider Number
170074
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/3/2025
Last Recertification Date
Contacts
Authorizing Official
Stormont Vail Health, Flint Hills LLC
Preston Trecek, Director Finance
(785) 210-3333
Primary Contact
Stormont-Vail Health
Robert Alan Brewer, Pharmacy Manager - Finance and Medication Acquisition
(785) 354-5498
Addresses
Street Address
1110 ST. MARY'S RD
SVH FLINT HILLS RURAL HEALTH CLINIC
JUNCTION CITY, KS 66441-4176
Billing Address
STORMONT VAIL HEALTHCARE INC.
1500 SW 10TH AVE
TOPEKA, KS 66604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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