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SCH260097-06 WESTERN MISSOURI MEDICAL CENTER (Terminated)
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Main Details
Name
WESTERN MISSOURI MEDICAL CENTER
Subdivision Name
INTERNAL MEDICINE
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260097-06
Medicare Provider Number
260097
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/25/2015
Last Recertification Date
8/30/2021
Termination Date
Termination Reason
10/1/2022
Site closure
Contacts
Authorizing Official
Western Missouri Medical Center
Dean Ohmart, Chief Financial Officer
(660) 262-7307
Primary Contact
Western Missouri Medical Center
Mary E Chapa, 340B Coordinator
(660) 262-7257
Addresses
Street Address
514 Burkarth Road
Warrensburg, MO 64093
Billing Address
Western Missouri Medical Center
PO Box 537
Warrensburg, MO 64093
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/25/15 CE reinstated effective 10/1/15, was participating from 10/1/13 to 6/30/15, not participating from7/1/15 to 9/30/15 due to DSH% below statutory minimum
08/25/2015
April 2025
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