340B Drug Pricing Program Database
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DSH460043 OREM COMMUNITY HOSPITAL (Terminated)
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Main Details
Name
OREM COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH460043
Medicare Provider Number
460043
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2016
Participating Start Date
3/15/2022
Participating Approval Date
8/12/2016
Last Recertification Date
9/6/2022
Termination Date
Termination Reason
7/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Intermountain HealthCare Orem Community Hospital
Craig Carrier, Finance Director
(801) 855-3503
Primary Contact
Intermountain Healthcare
Charles B. Stubbs, 340B Pharmacist
(801) 284-1113
Addresses
Street Address
331 NORTH 400 WEST
OREM, UT 84057
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/12/16 Participated starting 9/1/2008, terminated 8/13/2013, Reinstated effective 10/1/2016
08/12/2016
site terminated 8/8/13 for failure to meet GPO prohibition requirements
08/13/2013
April 2025
April 2025
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