340B Drug Pricing Program Database
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CAH261340-00 Mosaic Medical Center Maryville (Active)
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Main Details
Name
Mosaic Medical Center Maryville
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH261340-00
Medicare Provider Number
261340
Additional Details
Current Program Status
Active
Registration Date
1/30/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/3/2025
Last Recertification Date
Contacts
Authorizing Official
Heartland Regional Medical Center
Drew Keesbury, Chief Financial Officer
(816) 271-7070
Primary Contact
Heartland Regional Medical Center
Gayle Linville, Manager Pharmacy Strategic Sourcing
(816) 271-6141
Addresses
Street Address
2016 S. Main
Maryville, MO 64468
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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