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DSH340002Y MISSION HOSPITALS, INC. (Terminated)
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Main Details
Name
MISSION HOSPITALS, INC.
Subdivision Name
Mission Pediatric Hematology / Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340002Y
Medicare Provider Number
340002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/8/2014
Last Recertification Date
8/30/2018
Termination Date
Termination Reason
4/1/2019
For-Profit conversion
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
21 Hospital Drive, 2nd Floor
Asheville, NC 28801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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