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DSH260104AD SSM DEPAUL HEALTH CENTER (Terminated)
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Main Details
Name
SSM DEPAUL HEALTH CENTER
Subdivision Name
CTSI Elec Phy DPHC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260104AD
Medicare Provider Number
260104
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/27/2015
Last Recertification Date
9/14/2022
Termination Date
Termination Reason
1/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
SSM Health
Eileen Lamm, Regional Vice President-Finance
(314) 994-6219
Primary Contact
Spendmend
Chelsea Violette, Director of Optimization
(845) 206-6019
Addresses
Street Address
12266 DePaul Drive
Suite 205
Bridgeton, MO 63044
Billing Address
DePaul Hospital
12303 DePaul Drive
Bridgeton, MO 63044
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/27/15 enrolled in 340B 10/1/14 thru 12/31/14 but did not purchase 340B drugs, terminated 1/1/15 thru 9/30/15 due to ineligibility, reinstated effective 10/1/15
08/27/2015
April 2025
April 2025
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