340B Drug Pricing Program Database
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DSH150021BR Parkview Hospital (Active)
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Main Details
Name
Parkview Hospital
Subdivision Name
PVH Family Birthing-Observation Beds
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150021BR
Medicare Provider Number
150021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
2/18/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/9/2016
Last Recertification Date
8/15/2024
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
Fot Wayne, IN 46805-4638
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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