340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH160045 ST LUKES METHODIST HOSPITAL (Active)
Print
Main Details
Name
ST LUKES METHODIST HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH160045
Medicare Provider Number
160045
Additional Details
Current Program Status
Active
Registration Date
10/15/2012
Participating Start Date
1/1/2014
Participating Approval Date
10/24/2012
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
UPH St. Luke's Methodist Hospital
Lucas Hicks, VP - Finance
(319) 369-8114
Primary Contact
UPH St. Luke's Methodist Hospital
Dionne J Kraklio, 340B Pharmacy Specialist
(319) 389-8794
Addresses
Street Address
1026 A AVENUE NE
CEDAR RAPIDS, IA 52402-3026
Billing Address
UnityPoint Health Accounts Payable
P.O. Box 5048
Rock Island, IL 61204
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
12/13/13 COVERED ENTITY DID NOT MAKE PURCHASES IN 2013, WERE NOT READY BECAUSE SOFTWARE IMPLEMENTATION WAS DELAYED UNTIL DEC. 2013, HOWEVER THEY WENT BACK AND FORTH BETWEEN ACTIVE/ENROLLED AND INACTIVE/NOT ENROLLED IN THE DATABASE DURING 2013, SEE HISTORY TAB FOR DETAILS; 6/25/13 entity wanted termination to be processed before April so as to be out of the program during the April-June 2013 quarter, however, OPA did not process the termination request until April, which gave the termination a July 1 termination date. However, later in the quarter OPA learned that the entity wanted to participate from July 1 forward, therefore, it was necessary to reverse the termination (i.e., remove the termination date).
12/13/2013
6/25/13 entity wanted termination to be processed before April so as to be out of the program during the April-June 2013 quarter, however, OPA did not process the termination request until April, which gave the termination a July 1 termination date. However, later in the quarter OPA learned that the entity wanted to participate from July 1 forward, therefore, it was necessary to reverse the termination (i.e., remove the termination date).
06/25/2013
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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