340B Drug Pricing Program Database
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DSH500108 ST. JOSEPH MEDICAL CENTER (Active)
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Main Details
Name
ST. JOSEPH MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500108
Medicare Provider Number
500108
Additional Details
Current Program Status
Active
Registration Date
10/18/2007
Participating Start Date
4/1/2005
Participating Approval Date
10/18/2007
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Virginia Mason Franciscan Health
David Nosacka, SVP and CFO
(253) 680-4005
Primary Contact
CommonSpirit Health
Misty McCandless, 340B Program Coordinator NW Region
(757) 406-4583
Addresses
Street Address
1717 SOUTH J STREET
TACOMA, WA 98405
Billing Address
St. Joseph Medical Center
PO Box 636000
littleton, CO 80163-6000
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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