340B Drug Pricing Program Database
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DSH500011 St. Anne Hospital (Active)
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Main Details
Name
St. Anne Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500011
Medicare Provider Number
500011
Additional Details
Current Program Status
Active
Registration Date
11/29/2006
Participating Start Date
4/1/2015
Participating Approval Date
11/30/2006
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Virginia Mason Franciscan Health
David Nosacka, SVP and CFO
(253) 680-4005
Primary Contact
Virginia Mason Franciscan Health St. Anne Hospital
Bridget Lee, Director of Pharmacy
(206) 988-5787
Addresses
Street Address
16251 SYLVESTER RD. SW
BURIEN, WA 98166-0657
Billing Address
CommonSpirit Health St. Anne Hospital
PO Box 636000
Littleton, CO 80163
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/6/15 participating 1/1/07 thru 3/31/09, not participating 4/1/09 thru 3/31/15 due to DHS% falling below statutory minimum, reinstated based on on-line registration submitted in Jan. 2015
03/06/2015
April 2025
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