340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH140053F ST. JOHNS HOSPITAL (Terminated)
Print
Main Details
Name
ST. JOHNS HOSPITAL
Subdivision Name
Athleticare & Acceleration
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140053F
Medicare Provider Number
140053
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/12/2013
Last Recertification Date
9/12/2019
Termination Date
Termination Reason
10/1/2020
Other
Contacts
Authorizing Official
HSHS St. John's Hospital
E J Kuiper, President-CEO
(217) 814-4572
Primary Contact
HSHS St. John's Hospital
Brandi Strader, Director, Pharmacy
(217) 544-6464 Ext: 46744
Addresses
Street Address
3631 South 6th Street
Springfield, IL 62703
Billing Address
HSHS St. John's Hospital Pharmacy
800 E. Carpenter St.
springfield, IL 62769
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