340B Drug Pricing Program Database
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DSH340002B MISSION HOSPITALS, INC. (Terminated)
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Main Details
Name
MISSION HOSPITALS, INC.
Subdivision Name
ST JOSEPHS HOSPITAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340002B
Medicare Provider Number
340002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/23/2008
Participating Start Date
7/1/2004
Participating Approval Date
4/23/2008
Last Recertification Date
8/6/2015
Termination Date
Termination Reason
7/1/2016
Site closure
Contacts
Authorizing Official
Mission Health System
Paul L McDowell, CFO
(828) 213-0184
Primary Contact
Mission Health
Alan K. Knudsen, Pharmacy Specialist, 340B Program
(828) 213-4213
Addresses
Street Address
428 BILTMORE AVE
ASHEVILLE, NC 28801
Billing Address
MISSION HOSPITALS, INC. - ST JOSEPHS HOSPITAL
400 RIDGEFIELD COURT
ASHEVILLE, NC 28806
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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