340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH460004D MCKAY-DEE HOSPITAL CENTER (Terminated)
Print
Main Details
Name
MCKAY-DEE HOSPITAL CENTER
Subdivision Name
Physical Therapy Ortho - OP - McKay Dee Physical Therapy and Rehab
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH460004D
Medicare Provider Number
460004
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
2/2/2018
Last Recertification Date
Termination Date
Termination Reason
7/1/2018
DSH percentage below statutory minimum
Contacts
Authorizing Official
Intermountain Healthcare
Trever Porter, Finance Dir-MK
(801) 387-3767
Primary Contact
Intermountain Healthcare
Kevin Jones, 340B Program Director
(801) 284-1023
Addresses
Street Address
3895 Harrison Blvd
Suite 400
Ogden, UT 84403
Billing Address
McKay-Dee Hospital Center
4401 Harrison Blvd.
Ogden, UT 84403
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.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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