340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH260104AB SSM DEPAUL HEALTH CENTER (Terminated)
Print
Main Details
Name
SSM DEPAUL HEALTH CENTER
Subdivision Name
DPMG Pediatrics - Cross Keys
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260104AB
Medicare Provider Number
260104
Outpatient Facility Provider Number
260104
Additional Details
Current Program Status
Terminated
Registration Date
11/14/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/22/2022
Last Recertification Date
Termination Date
Termination Reason
10/1/2023
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
SSM Health
Eileen Lamm, Regional Vice President-Finance
(314) 994-6219
Primary Contact
SSM Health
Anita McAllister, System Director of 340B Operations
(314) 989-6778
Addresses
Street Address
14021 New Halls Ferry Road
Florissant, MO 63033
Billing Address
DePaul Health Center
12303 DePaul Drive
Bridgeton, MO 63044
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating from effective date: (10/1/2014) until terminated effective date: ( 1/1/2015), reinstatement effective date: (01/1/2023)
11/22/2022
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session