340B Drug Pricing Program Database
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DSH370016G INTEGRIS HEALTH ENID HOSPITAL (Active)
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Main Details
Name
INTEGRIS HEALTH ENID HOSPITAL
Subdivision Name
INTEGRIS HEART AND VASCULAR INSTITUTE - COMPUTED TOMOGRAPHY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370016G
Medicare Provider Number
370016
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2020
Participating Start Date
7/1/2020
Participating Approval Date
5/27/2020
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
INTEGRIS Health
Georg F. Lunday, Chief Pharmacy Officer
(405) 401-4842
Primary Contact
INTEGRIS Health
Christopher K. Yang, 340B Coordinator
(405) 795-2545
Addresses
Street Address
707 S MONROE ST
ENID, OK 73701-7286
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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