340B Drug Pricing Program Database
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DSH260005BG SSM HEALTH ST. JOSEPH HOSPITAL- SC (Active)
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Main Details
Name
SSM HEALTH ST. JOSEPH HOSPITAL- SC
Subdivision Name
SSM / Wound Center Suite 120
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260005BG
Medicare Provider Number
260005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/6/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
SSM Health
Eileen Lamm, Regional Vice President-Finance
(314) 994-6219
Primary Contact
SSM Health
Holly Herring, Director, 340B Center of Excellence
(580) 512-7188
Addresses
Street Address
330 First Capitol Drive
MOB 1, Suite 120
St. Charles, MO 63301
Billing Address
St. Joseph Hospital
300 First Capitol Drive
St. Charles, MO 63301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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