340B Drug Pricing Program Database
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DSH150021B Parkview Hospital (Terminated)
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Main Details
Name
Parkview Hospital
Subdivision Name
FWINV CT
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150021B
Medicare Provider Number
150021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/1/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/6/2015
Last Recertification Date
8/15/2024
Termination Date
Termination Reason
4/1/2025
Site closure
Contacts
Authorizing Official
Parkview Health System
Stanton Risser, Assoc Chief Financial Officer
(260) 266-9313
Primary Contact
Parkview Health
Stephanie Dickmeyer, 340B Program Supervisor
(260) 266-4408
Addresses
Street Address
8028 CARNEGIE BLVD STE 700
FORT WAYNE, IN 46804-5789
Billing Address
Parkview Memorial Hospital, INC
2200 Randallia Dr
Fort Wayne, IN 46805
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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