340B Drug Pricing Program Database
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DSH490063 INOVA FAIRFAX HOSPITAL (Active)
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Main Details
Name
INOVA FAIRFAX HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH490063
Medicare Provider Number
490063
Additional Details
Current Program Status
Active
Registration Date
9/29/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/29/2011
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Inova Fairfax
anuj steve narang, President
(480) 737-1397
Primary Contact
Inova Fairfax Medical Campus
Christiana Showunmi, 340B Program Manager
(240) 483-3843
Addresses
Street Address
3300 Gallows Road
Falls Church, VA 22042
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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