340B Drug Pricing Program Database
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DSH370091D Saint Francis Hospital (Active)
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Main Details
Name
Saint Francis Hospital
Subdivision Name
Broken Arrow Rehab
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370091D
Medicare Provider Number
370091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/26/2013
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Saint Francis Health System
Deborah D Dage, SRVP/Chief Financial Officer
(918) 494-8418
Primary Contact
Saint Francis Health System
Theodore Houston, Manager Pharmacy Financials and 340B Program
(918) 494-1862
Addresses
Street Address
2950 South Elm Place Suite 230
Broken Arrow, OK 74012
Billing Address
Saint Francis Health System
Att: Accounts Payable
PO BOX 707004
Tulsa, OK 74170-7004
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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