340B Drug Pricing Program Database
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DSH460009RB University of Utah (Approved)
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Main Details
Name
University of Utah
Subdivision Name
UNIVERSITY OF UTAH - CC REDSTONE PHYSICAL THERAPY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH460009RB
Medicare Provider Number
460009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/9/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/23/2025
Last Recertification Date
Contacts
Authorizing Official
University of Utah Hospitals and Clinics
Charlton Gordon Park, Chief Financial Officer
(801) 585-1325
Primary Contact
University of Utah Hospitals and Clinics
Anthony Trovato, 340B Clinical Pharmacist
(801) 585-9139
Addresses
Street Address
1743 REDSTONE CENTER DR
PARK CITY, UT 84098-7929
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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