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DSH500141C ST FRANCIS HOSPITAL (Active)
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Main Details
Name
ST FRANCIS HOSPITAL
Subdivision Name
Outpatient Oncology Care Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH500141C
Medicare Provider Number
500141
Outpatient Facility Provider Number
500141
Additional Details
Current Program Status
Active
Registration Date
1/15/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/31/2014
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Virginia Mason Franciscan Health
David Nosacka, SVP and CFO
(253) 680-4005
Primary Contact
St. Francis Hospital
Nicholas William Larned, Director of Pharmacy
(253) 944-4142
Addresses
Street Address
34509 9th Avenue South
Suite 301
Federal Way, WA 98003
Billing Address
St. Francis Hospital
PO Box 636000
Littleton, CO 80163
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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