340B Drug Pricing Program Database
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DSH010087A USA Health University Hospital (Terminated)
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Main Details
Name
USA Health University Hospital
Subdivision Name
INFUSION CLINIC AT MCI MOBILE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010087A
Medicare Provider Number
010087
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
3/3/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/6/2009
Last Recertification Date
8/20/2019
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
University of South Alabama
Traci Jones, CFO
(251) 445-9164
Primary Contact
USA Health University Hospital
Rachel M Weaver, Clinical Pharmacist
(251) 471-7388
Addresses
Street Address
2451 University Hospital Drive
Pharmacy Dept
MOBILE, AL 36617
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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