340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH140053E ST. JOHNS HOSPITAL (Active)
Print
Main Details
Name
ST. JOHNS HOSPITAL
Subdivision Name
Prairie Diagnostic Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140053E
Medicare Provider Number
140053
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/12/2013
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
HSHS
Michael Scialdone, SVP-Chief Financial Officer
(217) 492-6594
Primary Contact
HSHS St. John's Hospital
Erica Ridley, Pharmacy Manager
(217) 544-6464 Ext: 2044668
Addresses
Street Address
401 E Carpenter St
Springfield, IL 62702
Billing Address
Consolidated Services
PO Box 3646
Springfield, IL 62708
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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