340B Drug Pricing Program Database
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DSH370106E INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION (Terminated)
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Main Details
Name
INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION
Subdivision Name
INTEGRIS Southwest Medical Center / Rehab Unit
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370106E
Medicare Provider Number
370106
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/15/2015
Last Recertification Date
8/16/2016
Termination Date
Termination Reason
1/1/2018
Never implemented the 340B Program
Contacts
Authorizing Official
INTEGRIS Health System
Chris Hammes, Executive Vice President
(405) 949-3400
Primary Contact
INTEGRIS Health
Georg F. Lunday, Chief Pharmacy Officer
(405) 401-4842
Addresses
Street Address
3300 NW Expressway
Oklahoma City, OK 73112
Billing Address
INTEGRIS Southwest Medical Center - Rehab Unit
PO Box 268908
Oklahoma City, OK 73126-8908
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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