340B Drug Pricing Program Database
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DSH010087N USA Health University Hospital (Approved)
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Main Details
Name
USA Health University Hospital
Subdivision Name
Infusion Clinic at Providence - Infusion - Infusion
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010087N
Medicare Provider Number
010087
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/2/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/8/2025
Last Recertification Date
Contacts
Authorizing Official
USA Health Systems
Kristen Roberts, Chief Financial Officer
(251) 460-6241
Primary Contact
University of South Alabama Health System
Davin Patel, Pharmacy Compliance Manager
(251) 214-5465
Addresses
Street Address
6701 Airport Boulevard, Building B
Suite B220
mobile, AL 36608
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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