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DSH340002C MISSION HOSPITALS, INC. (Terminated)
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Main Details
Name
MISSION HOSPITALS, INC.
Subdivision Name
Mission Cancer/Infusion Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340002C
Medicare Provider Number
340002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/23/2008
Participating Start Date
9/9/2005
Participating Approval Date
4/23/2008
Last Recertification Date
9/3/2018
Termination Date
Termination Reason
4/1/2019
For-Profit conversion
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
21 Hospital Dr., Third Floor
ASHEVILLE, NC 28801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/19/11 UPDATED SUBDIV NAME (WAS MISSION OUTPATIENT INFUSION CLINIC) UPDATED MAIN ADD (WAS 2 MEDICAL PARK DRIVE, SUITE 101, ASHEVILLE, NC 28803); 5/1/09 UPDATED ADDR (WAS 30 BRYSON ST, #A) AND SUBDIVISION NAME (ADVANCED HOME CARE OUTPATIENT INFUSION)
12/19/2011
5/1/09 UPDATED ADDR (WAS 30 BRYSON ST, #A) AND SUBDIVISION NAME (ADVANCED HOME CARE OUTPATIENT INFUSION)
05/01/2009
April 2025
April 2025
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