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DSH100087 SARASOTA MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
SARASOTA MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH100087
Medicare Provider Number
100087
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2014
Participating Start Date
1/1/2015
Participating Approval Date
9/8/2014
Last Recertification Date
11/16/2017
Termination Date
Termination Reason
4/1/2018
DSH percentage below statutory minimum
Contacts
Authorizing Official
Sarasota County Public Hospital District
William Woeltjen, Chief Financial Officer
(941) 917-1280
Primary Contact
Sarasota Memorial Hospital
Janet Krail, Director of Reimbursement
(941) 917-1696
Addresses
Street Address
1700 S. TAMIAMI TRAIL
SARASOTA, FL 34239-3509
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/30/14 Hospital originally was expecting to be ready to operate a compliant 340B program on 10/1/14, but after being approved asked for the start date to be changed to 1/1/15
09/30/2014
May 2025
May 2025
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