340B Drug Pricing Program Database
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DSH150021AK Parkview Hospital (Active)
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Main Details
Name
Parkview Hospital
Subdivision Name
PVH REHAB / PHYSICAL THERAPY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150021AK
Medicare Provider Number
150021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/6/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/14/2024
Last Recertification Date
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
2200 Randallia Drive
Fort Wayne, IN 46805-4638
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting- 1/1/2016 Terminated starting- 4/1/2018 Reinstated- 10/01/2024
08/07/2024
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