340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH500108C ST. JOSEPH MEDICAL CENTER (Terminated)
Print
Main Details
Name
ST. JOSEPH MEDICAL CENTER
Subdivision Name
St. Joseph Dialysis Center-Puyallup
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500108C
Medicare Provider Number
500108
Outpatient Facility Provider Number
503507
Additional Details
Current Program Status
Terminated
Registration Date
2/14/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/30/2012
Last Recertification Date
8/16/2016
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
CHI Franciscan Health
Mike Fitzgerald, CFO
(253) 680-4005
Primary Contact
CHI Franciscan Health
Cindy Wilson, 340B Program Manager
(253) 426-6692
Addresses
Street Address
702 South Hill Park Drive
Suite 105
Puyallup, WA 98373
Billing Address
St Joseph Medical Center
PO Box 63600
Littleton, CO 80163-6000
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session