340B Drug Pricing Program Database
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DSH440049G METHODIST HEALTHCARE - MEMPHIS HOSPITALS (Terminated)
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Main Details
Name
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Subdivision Name
Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH440049G
Medicare Provider Number
440049
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
2/24/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/30/2012
Last Recertification Date
8/28/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Methodist Healthcare - Memphis Hospitals
Chuck Lane, SVP/Associate CFO
(901) 516-0549
Primary Contact
Methodist Healthcare- Memphis Hospitals
Christopher Neil Bell, 340B Program Manager
(901) 516-2440
Addresses
Street Address
240 Grandview Dr
Brighton, TN 38011
Billing Address
Methodist Healthcare - Memphis Hospitals
P.O. Box 41058
Memphis, TN 38174
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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