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DSH260163A PARKLAND HEALTH CENTER (Active)
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Main Details
Name
PARKLAND HEALTH CENTER
Subdivision Name
Oncology/Infusion Center - Oncology/Infusion
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260163A
Medicare Provider Number
260163
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/25/2019
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Parkland Health Center
Heather Lynn Taliaferro, Chief Nursing Officer
(573) 760-8239
Primary Contact
Parkland Health Center
Steven ONeal, Procurement Coordinator
(573) 760-8060
Addresses
Street Address
1103 W. Liberty St.
Suite 4020
Farmington, MO 63640
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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