340B Drug Pricing Program Database
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DSH260078T Ozarks Medical Center DBA Ozarks Healthcare (Terminated)
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Main Details
Name
Ozarks Medical Center DBA Ozarks Healthcare
Subdivision Name
Heart Care Services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260078T
Medicare Provider Number
260078
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/23/2013
Last Recertification Date
9/3/2021
Termination Date
Termination Reason
1/1/2022
Never implemented the 340B Program
Contacts
Authorizing Official
Ozarks Medical Center
Nichole Cook, Vice President of Finance
(417) 256-9111 Ext: 6010
Primary Contact
Ozarks Medical Center DBA Ozarks Healthcare
Katie Mahan, Director of 340B and Specialty Pharmacy Services
(417) 505-7700
Addresses
Street Address
1115 Alaska Street
West Plains, MO 65775
Billing Address
Ozarks Medical Center
PO Box 1100
West Plains, MO 65775
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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