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DSH260001D Mercy Hospital Joplin (Active)
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Main Details
Name
Mercy Hospital Joplin
Subdivision Name
Wound Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260001D
Medicare Provider Number
260001
Outpatient Facility Provider Number
260001
Additional Details
Current Program Status
Active
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Mercy Hospital Joplin
Mathew Janssens, Chief Financial Officer
(417) 556-2459
Primary Contact
Mercy Shared Services
Mike Loftus, Director-Hospital Pharmacy
(417) 820-3487
Addresses
Street Address
1905 W. 32nd Street
103
Joplin, MO 64804
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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