340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH370149Q St. Anthony Shawnee Hospital (Terminated)
Print
Main Details
Name
St. Anthony Shawnee Hospital
Subdivision Name
ST ANTHONY PHYSICIANS FAMILY HEALTH
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH370149Q
Medicare Provider Number
370149
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/3/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/12/2017
Last Recertification Date
8/28/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
- SSM ST ANTHONY HOSPITAL
Shasta Manuel, VP of Finance CFO
(405) 272-7282
Primary Contact
SSM Health
Michelle Nicole Schmitt, VP Pharmacy Financial Operations
(608) 294-6203
Addresses
Street Address
3204 MEDICAL PARK DR
SHAWNEE, OK 74804-5014
Billing Address
St. Anthony Shawnee Hospital
1102 W Mac Arthur
Shawnee, OK 74804
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
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