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SCH260006-30 HEARTLAND REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
HEARTLAND REGIONAL MEDICAL CENTER
Subdivision Name
Mosaic Life Care at St. Joseph Physical Medicine and Rehabilitation
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260006-30
Medicare Provider Number
260006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/4/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/24/2020
Last Recertification Date
8/15/2023
Termination Date
Termination Reason
1/1/2024
Change of covered entity type
Contacts
Authorizing Official
Heartland Regional Medical Center
Edward P Kammerer, 340B Administrator
(816) 271-1236
Primary Contact
Heartland Regional Medical Center
Gayle Linville, Manager Pharmacy Strategic Sourcing
(816) 271-6141
Addresses
Street Address
5301 Faraon Street
Suite 200
St. Joseph, MO 64506
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2013, Terminated 10/1/2019. Reinstated 10/1/2020.
08/17/2020
June 2025
June 2025
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