340B Drug Pricing Program Database
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DSH170122AC Ascension Via Christi Hospitals Wichita, Inc (Active)
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Main Details
Name
Ascension Via Christi Hospitals Wichita, Inc
Subdivision Name
Transitional Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH170122AC
Medicare Provider Number
170122
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/3/2017
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Ascension Via Christi
Todd Schroeder, VP Pharmacy
(316) 268-5580
Primary Contact
Ascension Via Christi Hospitals Wichita, Inc.
Sarah E Dodson, 340B Program Director
(316) 202-8759
Addresses
Street Address
707 N EMPORIA
WICHITA, KS 67214
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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