340B Drug Pricing Program Database
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DSH170040 UNIVERSITY OF KANSAS HOSPITAL (Active)
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Main Details
Name
UNIVERSITY OF KANSAS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH170040
Medicare Provider Number
170040
Additional Details
Current Program Status
Active
Registration Date
9/7/2007
Participating Start Date
10/1/2000
Participating Approval Date
9/7/2007
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
University of Kansas Health System
Rick Couldry, Vice-President, Pharmacy and Clinical Professions
(913) 588-2301
Primary Contact
The University of Kansas Hospital
Todd Holt, Pharmacy Operations Manager
(913) 945-8291
Addresses
Street Address
4000 Cambridge Street
Kansas City, KS 66160
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/8/04 UPDATED MEDICAID #(WAS 6086212101)
01/21/2010
May 2025
May 2025
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