340B Drug Pricing Program Database
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DSH440049CT METHODIST HEALTHCARE - MEMPHIS HOSPITALS (Terminated)
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Main Details
Name
METHODIST HEALTHCARE - MEMPHIS HOSPITALS
Subdivision Name
Methodist Healthcare Oncology Clinic - Wolf River - CT / MRI
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH440049CT
Medicare Provider Number
440049
Outpatient Facility Provider Number
440049
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/4/2014
Last Recertification Date
8/28/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Methodist Healthcare - Memphis Hospitals
Chuck Lane, SVP/Associate CFO
(901) 516-0549
Primary Contact
Methodist Healthcare- Memphis Hospitals
Christopher Neil Bell, 340B Program Manager
(901) 516-2440
Addresses
Street Address
7945 Wolf River Blvd
Germantown, TN 38138
Billing Address
Methodist Healthcare - Memphis Hospitals
P.O. Box 41058
Memphis, TN 38174
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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