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DSH340002N MISSION HOSPITALS, INC. (Terminated)
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Main Details
Name
MISSION HOSPITALS, INC.
Subdivision Name
Mission Sports Medicine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340002N
Medicare Provider Number
340002
Outpatient Facility Provider Number
340002
Additional Details
Current Program Status
Terminated
Registration Date
7/12/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/13/2013
Last Recertification Date
8/6/2015
Termination Date
Termination Reason
7/1/2016
Loss of qualifying grant/support
Contacts
Authorizing Official
Mission Health System
Paul L McDowell, CFO
(828) 213-0184
Primary Contact
Mission Health
Alan K. Knudsen, Pharmacy Specialist, 340B Program
(828) 213-4213
Addresses
Street Address
534 Biltmore Ave
Asheville, NC 28801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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