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DSH240106Q REGIONS HOSPITAL (Active)
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Main Details
Name
REGIONS HOSPITAL
Subdivision Name
DIGESTIVE CARE ENDOSCOPY PROCEDURES
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240106Q
Medicare Provider Number
240106
Outpatient Facility Provider Number
240106
Additional Details
Current Program Status
Active
Registration Date
7/9/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/3/2014
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Regions Hospital
John M Clark, VP Finance
(651) 254-0900
Primary Contact
Regions Hospital
Tanya Y Barnhart, Director, Pharmaceutical Services
(651) 254-9560
Addresses
Street Address
435 PHALEN BLVD
ST PAUL, MN 55130-5302
Billing Address
Regions Hospital
640 Jackson St
St Paul, MN 55101
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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