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DSH260020X MERCY HOSPITAL - ST. LOUIS (Active)
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Main Details
Name
MERCY HOSPITAL - ST. LOUIS
Subdivision Name
MERCY INFUSION CENTER - 901 PATIENT - MHW INFUSION CANCER CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260020X
Medicare Provider Number
260020
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/4/2021
Participating Start Date
4/1/2021
Participating Approval Date
1/5/2021
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Mercy Hospital St. Louis
Denise Scoffic, VP Finance
(314) 364-3553
Primary Contact
Mercy Shared Services
Mike Loftus, Director-Hospital Pharmacy
(417) 820-3487
Addresses
Street Address
901 PATIENTS FIRST DR
WASHINGTON, MO 63090-4700
Billing Address
MERCY HOSPITAL ST. LOUIS
615 S. NEW BALLAS ROAD
ST. LOUIS, MO 63141
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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