340B Drug Pricing Program Database
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DSH150021CY Parkview Hospital (Active)
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Main Details
Name
Parkview Hospital
Subdivision Name
PREMIER SURGERY OPERATING ROOM
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150021CY
Medicare Provider Number
150021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/4/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/6/2019
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Parkview Health System
Stanton Risser, Assoc Chief Financial Officer
(260) 266-9313
Primary Contact
Parkview Health
Stephanie Dickmeyer, 340B Program Supervisor
(260) 266-4408
Addresses
Street Address
11141 Parkview Plaza Dr STE 200
FORT WAYNE, IN 46845
Billing Address
PARKVIEW MEMORIAL HOSPITAL, INC
2200 Randallia Drive
Fort Wayne, IN 46805
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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