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DSH260032B BARNES-JEWISH HOSPITAL (Active)
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Main Details
Name
BARNES-JEWISH HOSPITAL
Subdivision Name
Barnes-Jewish Hospital Surgical and Wound Care Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260032B
Medicare Provider Number
260032
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/11/2014
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Barnes-Jewish Hospital
Paul John Irovic, Vice-president, Finance
(314) 265-8874
Primary Contact
Barnes Jewish Hospital
Kristin Helton, Pharmacy Manager
(314) 249-7683
Addresses
Street Address
4901 Forest Park Avenue
Suite 340
ST. LOUIS, MO 63108
Billing Address
Barnes Jewish Hospital
4249 Clayton Ave Ste 310
St. Louis, MO 63110
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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