340B Drug Pricing Program Database
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DSH240038T United Hospital (Active)
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Main Details
Name
United Hospital
Subdivision Name
United Infusion Therapy Center - Infusion
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240038T
Medicare Provider Number
240038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/12/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/13/2021
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Allina Health
Tony M Collins-Kwong, Director, Strategic Sourcing and Services, Pharmacy Services
(612) 262-4785
Primary Contact
Allina Health
Jeremy Enger, 340B Program Manager
(612) 760-7836
Addresses
Street Address
333 Smith Ave N
300
St Paul, MN 55102-2344
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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