340B Drug Pricing Program Database
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DSH440015Q UNIVERSITY OF TENNESSEE MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF TENNESSEE MEDICAL CENTER
Subdivision Name
UTMC SLEEP DISORDER CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH440015Q
Medicare Provider Number
440015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/17/2015
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
University of Tennessee Medical Center
Kim C. Mason, Vice President, Pharmacy and Research
(865) 305-9124
Primary Contact
University of Tennessee Medical Center
Ivis Shane Trent, 340B Pharmacist
(865) 305-9166
Addresses
Street Address
1928 ALCOA HWY
SUITE B303
KNOXVILLE, TN 37920-1502
Billing Address
UHS, Inc.
Accts Payable
PO Box 32849
Knoxville, TN 37930
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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