340B Drug Pricing Program Database
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DSH370004 INTEGRIS MIAMI HOSPITAL (Active)
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Main Details
Name
INTEGRIS MIAMI HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH370004
Medicare Provider Number
370004
Additional Details
Current Program Status
Active
Registration Date
10/17/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/9/2022
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
INTEGRIS Health
Georg F. Lunday, Chief Pharmacy Officer
(405) 401-4842
Primary Contact
INTEGRIS Health
Christopher K. Yang, 340B Coordinator
(405) 795-2545
Addresses
Street Address
200 2ND AVE. SW
MIAMI, OK 74354
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Initial start date: 1/1/2010, Termination: 2/7/2022, Reinstatement: 1/1/2023
11/03/2022
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