340B Drug Pricing Program Database
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DSH170122B Ascension Via Christi Hospitals Wichita, Inc (Terminated)
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Main Details
Name
Ascension Via Christi Hospitals Wichita, Inc
Subdivision Name
SJC AIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH170122B
Medicare Provider Number
170122
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
3/20/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/27/2013
Last Recertification Date
9/3/2019
Termination Date
Termination Reason
10/1/2020
Other
Contacts
Authorizing Official
Via Christi Hospitals Wichita, Inc
Jim C Garrelts, Vice President, Pharmacy
(316) 268-5580
Primary Contact
Ascension Via Christi Hospitals Wichita, Inc.
Sarah E Dodson, 340B Program Director
(316) 202-8759
Addresses
Street Address
3600 East Harry
Wichita, KS 67218
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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