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DSH370037AS SSM ST ANTHONY HOSPITAL (Terminated)
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Main Details
Name
SSM ST ANTHONY HOSPITAL
Subdivision Name
BONE AND JOINT PHARMACY - BONE AND JOINT PHARMACY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370037AS
Medicare Provider Number
370037
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/16/2019
Last Recertification Date
9/16/2022
Termination Date
Termination Reason
1/1/2023
Never implemented the 340B Program
Contacts
Authorizing Official
- SSM ST ANTHONY HOSPITAL
Shasta Manuel, VP of Finance CFO
(405) 272-7282
Primary Contact
Spendmend
Chelsea Violette, Director of Optimization
(845) 206-6019
Addresses
Street Address
1111 N DEWEY
OKLAHOMA CITY, OK 73103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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