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SCH260006-36 HEARTLAND REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
HEARTLAND REGIONAL MEDICAL CENTER
Subdivision Name
MLC at St. Joseph - Bariatric Care
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260006-36
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
9/1/2020
Last Recertification Date
Termination Date
Termination Reason
1/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Heartland Regional Medical Center
Dwain Stilson, Chief Financial Officer
(816) 271-7070
Primary Contact
Heartland Regional Medical Center
Craig Gordon, Manager Pharmacy Strategic Sourcing
(816) 271-6069
Addresses
Street Address
802 N. Riverside Road
Suite 220
St. Joseph, MO 64507
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 7/1/2020. Reinstated 10/1/2020.
08/17/2020
June 2025
June 2025
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