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DSH260032H BARNES-JEWISH HOSPITAL (Active)
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Main Details
Name
BARNES-JEWISH HOSPITAL
Subdivision Name
CENTER FOR ADVANCED MEDICINE SOUTH / Endoscopy-GI-CSC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260032H
Medicare Provider Number
260032
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/17/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/24/2017
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Barnes-Jewish Hospital
Paul John Irovic, Vice-president, Finance
(314) 265-8874
Primary Contact
Barnes Jewish Hospital
Kristin Helton, Pharmacy Manager
(314) 249-7683
Addresses
Street Address
5201 MID AMERICA PLZ
SAINT LOUIS, MO 63129-0002
Billing Address
Barnes Jewish Hospital
4249 Clayton Ave Ste 310
St. Louis, MO 63110
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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