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DSH170086J STORMONT-VAIL HEALTHCARE INC. (Terminated)
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Main Details
Name
STORMONT-VAIL HEALTHCARE INC.
Subdivision Name
Stormont Vail Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH170086J
Medicare Provider Number
170086
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/17/2018
Last Recertification Date
8/14/2023
Termination Date
Termination Reason
7/1/2024
Site closure
Contacts
Authorizing Official
Stormont Vail Health inc.
Michael Kongs, Assistant CFO & System Director & Controller
(785) 354-5844 Ext: 25844
Primary Contact
Stormont-Vail Health
Robert Alan Brewer, Pharmacy Manager - Finance and Medication Acquisition
(785) 354-5498
Addresses
Street Address
909 Mulvane Street Lower Level
Topeka, KS 66606
Billing Address
Stormont Vail Health
1500 SW 10th Avenue
Topeka, KS 66604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date (1/1/2017) until terminated effective date (1/1/2018), reinstatement date effective date (04/01/2018)
01/16/2018
April 2025
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