340B Drug Pricing Program Database

Name

UNIVERSITY OF TENNESSEE MEDICAL CENTER

Subdivision Name

UNIVERSITY CANCER SPECIALISTS

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH440015B

Medicare Provider Number

440015

Outpatient Facility Provider Number

Current Program Status

Terminated

Registration Date

7/30/2010

Participating Start Date

10/1/2010

Participating Approval Date

8/5/2010

Last Recertification Date

8/19/2015

Termination Date
Termination Reason

10/1/2015
Site closure

Authorizing Official

University of Tennessee Medical Center
Steven Robert Ross, Senior Vice President, Strategic Development
(865) 305-6400

Primary Contact

University of Tennessee Medical Center
Kim C. Mason, Vice President, Pharmacy and Research
(865) 305-9124

Street Address

1907 WEST MORRIS BLVD.
SUITE E
MORRISTOWN, TN 37813

Billing Address

Pharmacy Finance
1924 Alcoa Hwy, U41
Knoxville, TN 37920