340B Drug Pricing Program Database
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DSH260141D University of Missouri Health Care (Active)
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Main Details
Name
University of Missouri Health Care
Subdivision Name
FAIRVIEW GENERAL INTERNAL MEDICINE CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260141D
Medicare Provider Number
260141
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/8/2007
Participating Start Date
1/1/1998
Participating Approval Date
9/10/2007
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
University of Missouri Health Care
KERI SIMON, Chief Operating Officer, Hospital Services
(573) 882-8359
Primary Contact
University of Missouri Health Care
Jacob Simons, Pharmacy Business Director
(573) 884-4614
Addresses
Street Address
101 SOUTH FAIRVIEW
COLUMBIA, MO 65203
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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