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DSH030024E ST JOSEPH'S HOSPITAL AND MEDICAL CENTER (Terminated)
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Main Details
Name
ST JOSEPH'S HOSPITAL AND MEDICAL CENTER
Subdivision Name
Neuro Muscular Outpatient Infusion Services
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH030024E
Medicare Provider Number
030024
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
8/23/2021
Termination Date
Termination Reason
10/1/2022
Loss of qualifying hospital status
Contacts
Authorizing Official
St.Joseph's Hospital and Medical Center
Jeffrey Jackson, Chief Financial Officer
(602) 406-4618
Primary Contact
CommonSpirit Health
Ryan Pearcy, California Region Manager Pharmacy 340B Services
(859) 229-5654
Addresses
Street Address
240 West Thomas Road
Phoenix, AZ 85013
Billing Address
Dignity Health Accounts Payable
3033 N. 3rd Avenue
Phoenix, AZ 85013
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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