340B Drug Pricing Program Database
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DSH170122BA Ascension Via Christi Hospitals Wichita, Inc (Active)
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Main Details
Name
Ascension Via Christi Hospitals Wichita, Inc
Subdivision Name
18357 Infusion Services COVID19 001 - Intravenous Therapy
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH170122BA
Medicare Provider Number
170122
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/5/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/8/2022
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Ascension Via Christi
Todd Schroeder, VP Pharmacy
(316) 268-5580
Primary Contact
Ascension Via Christi Hospitals Wichita, Inc.
Sarah E Dodson, 340B Program Director
(316) 202-8759
Addresses
Street Address
848 N. St. Francis
Wichita, KS 67214
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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