340B Drug Pricing Program Database
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DSH270012S BENEFIS HOSPITALS INC. (Terminated)
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Main Details
Name
BENEFIS HOSPITALS INC.
Subdivision Name
Benefis Department of Outpatient Surgery - Department of Outpatient Surgery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH270012S
Medicare Provider Number
270012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/30/2018
Participating Start Date
1/1/2019
Participating Approval Date
11/19/2018
Last Recertification Date
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Benefis Hospitals Inc.
Forrest Ehlinger, Chief Financial Officer
(406) 455-5479
Primary Contact
Benefis Hospitals Inc.
David Richard Runkel, Pharmacy Director
(406) 455-5434
Addresses
Street Address
1401 25th St. S.
1st Floor
Great Falls, MT 59405
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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