340B Drug Pricing Program Database
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DSH150021AD Parkview Hospital (Active)
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Main Details
Name
Parkview Hospital
Subdivision Name
PVH Interventional Radiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150021AD
Medicare Provider Number
150021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/1/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/28/2015
Last Recertification Date
8/14/2024
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
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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