340B Drug Pricing Program Database
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DSH340002BL MISSION HOSPITALS, INC. (Terminated)
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Main Details
Name
MISSION HOSPITALS, INC.
Subdivision Name
Mammography - 2 Town Square
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340002BL
Medicare Provider Number
340002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/16/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/26/2017
Last Recertification Date
9/4/2018
Termination Date
Termination Reason
4/1/2019
For-Profit conversion
Contacts
Authorizing Official
Mission Health System
Paul L McDowell, CFO
(828) 213-0184
Primary Contact
Mission Health
Alan K. Knudsen, Pharmacy Specialist, 340B Program
(828) 213-4213
Addresses
Street Address
2 Town Square Blvd., Suite 110
Asheville, NC 28803
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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