340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

RRC140046-00 SSM HEALTH GOOD SAMARITAN HOSPITAL (Approved)

Main Details
SSM HEALTH GOOD SAMARITAN HOSPITAL
Rural Referral Center
Yes
RRC140046-00
140046


Additional Details
Approved
4/5/2025
7/1/2025
5/5/2025

Contacts

SSM Health
Eileen Lamm, Regional Vice President-Finance
(314) 994-6219

SSM Health
Michelle Nicole Schmitt, VP Pharmacy Financial Operations
(608) 294-6203

Addresses

1 GOOD SAMARITAN WAY
MT. VERNON, IL 62864

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
1
 Item 1 to 2 of 2
Page:
of 1 Page size:
CommentLast Updated On 
1
 Item 1 to 2 of 2
Page:
of 1 Page size:
Participating Start Date 10/1/2015, Termination 7/1/2023, Reinstatement 7/1/202505/02/2025
Participated starting 7/1/11, terminated 7/1/12 through 10/1/15 due to DSH percentage below statutory minimum, reinstated based on new registration submitted in July 201508/11/2015
  • NoFilter
  • Contains
  • DoesNotContain
  • StartsWith
  • EndsWith
  • EqualTo
  • NotEqualTo
  • GreaterThan
  • LessThan
  • GreaterThanOrEqualTo
  • LessThanOrEqualTo
  • Between
  • NotBetween
  • IsEmpty
  • NotIsEmpty
  • IsNull
  • NotIsNull
  • Custom