340B Drug Pricing Program Database
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DSH060103 AdventHealth Avista (Active)
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Main Details
Name
AdventHealth Avista
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH060103
Medicare Provider Number
060103
Additional Details
Current Program Status
Active
Registration Date
11/4/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/15/2011
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
AdventHealth
Jonathan Erickson, Avista CFO
(303) 673-1000
Primary Contact
AdventHealth
Dustin Lott Jones, 340B Coordinator
(254) 833-1495
Addresses
Street Address
100 Health Park Drive
Louisville, CO 80027
Billing Address
AdventHealth Avista
c/o AdventHealth
902 Inspiration Avenue
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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