340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH140224 PRESENCE SAINT JOSEPH HOSP-CHICAGO (Active)
Print
Main Details
Name
PRESENCE SAINT JOSEPH HOSP-CHICAGO
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140224
Medicare Provider Number
140224
Additional Details
Current Program Status
Active
Registration Date
4/1/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/5/2021
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Ascension St Joseph
Flavio Marin, CFO
(773) 665-6212
Primary Contact
Ascension Rx
Kelsey Fiser, 340B Program Director
(615) 222-5190
Addresses
Street Address
2900 NORTH LAKE SHORE DRIVE
CHICAGO, IL 60657
Billing Address
Ascension Health Ministry Service Center
PO Box 33902
Indianapolis, IN 46203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating from effective date: (1/1/2016) until terminated effective date: (10/1/2016), reinstatement effective date: (07/01/2021)
04/02/2021
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session