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DSH260102G Truman Medical Center, Incorporated dba University Health Lakewood Medical Center (Active)
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Main Details
Name
Truman Medical Center, Incorporated dba University Health Lakewood Medical Center
Subdivision Name
University Health Community Care Fairmount Counseling
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260102G
Medicare Provider Number
260102
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/10/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/14/2015
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
University Health
John Wilson, Chief Financial Officer
(816) 404-2544
Primary Contact
University Health
Linus Paul Orth, 340B Program Manager
(816) 404-4177
Addresses
Street Address
606 S Hardy
Independence, MO 64053
Billing Address
Truman Medical Center, Inc. – Lakewood
7900 Lee's Summit Road
Kansas City, MO 64139
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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