340B Drug Pricing Program Database
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DSH460009AA University of Utah (Active)
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Main Details
Name
University of Utah
Subdivision Name
Sleep-Wake Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH460009AA
Medicare Provider Number
460009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/4/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/18/2012
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
University of Utah Hospitals and Clinics
Charlton Gordon Park, Chief Financial Officer
(801) 585-1325
Primary Contact
University of Utah
Russell Findlay, Pharmacy Support Services Manager
(801) 213-1202
Addresses
Street Address
1138 East Wilmington Avenue
Salt Lake City, UT 84106-1261
Billing Address
University of Utah Hospital
Accounts Payable
PO Box 2790
Salt Lake City, UT 84110-2790
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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