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SCH260006-44 HEARTLAND REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
HEARTLAND REGIONAL MEDICAL CENTER
Subdivision Name
GASTROENTEROLOGY OF ST JOSEPH MOSAI - Heartland Gastroenterology
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260006-44
Medicare Provider Number
260006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/10/2022
Last Recertification Date
8/15/2023
Termination Date
Termination Reason
1/1/2024
Change of covered entity type
Contacts
Authorizing Official
Heartland Regional Medical Center
Edward P Kammerer, 340B Administrator
(816) 271-1236
Primary Contact
Heartland Regional Medical Center
Gayle Linville, Manager Pharmacy Strategic Sourcing
(816) 271-6141
Addresses
Street Address
802 North Riverside Road
Suite 220
St. Joseph, MO 64507-2509
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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