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DSH260183D SAINT FRANCIS MEDICAL CENTER (Active)
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Main Details
Name
SAINT FRANCIS MEDICAL CENTER
Subdivision Name
SAINT FRANCIS MEDICAL CENTER - Cape Cardiology Group
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260183D
Medicare Provider Number
260183
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/3/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/21/2017
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Saint Francis Healthcare System
Lisa Ann Newcomer, Vice President - Regional Operations
(573) 331-5191
Primary Contact
Saint Francis Medical Center
SARAH JANE MIRGAUX, DIRECTOR OF PHARMACY
(573) 331-5251
Addresses
Street Address
211 SAINT FRANCIS DR STE 15
CAPE CARDIOLOGY GROUP
CAPE GIRARDEAU, MO 63703-5049
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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