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DSH260104J SSM DEPAUL HEALTH CENTER (Terminated)
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Main Details
Name
SSM DEPAUL HEALTH CENTER
Subdivision Name
SSMCC - North - LSL Ste 100 / SSM Cancer Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260104J
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
8/31/2015
Last Recertification Date
8/22/2019
Termination Date
Termination Reason
10/1/2020
Other
Contacts
Authorizing Official
SSM Health
Eileen Lamm, Regional Vice President-Finance
(314) 994-6219
Primary Contact
SSM Health
Jeffrey Peine, Finance Director
(314) 989-3532
Addresses
Street Address
400 Medical Plaza, Suite 100
Lake St. Louis, MO 63367
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/31/15 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
08/31/2015
April 2025
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