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DSH370025C SAINT FRANCIS HOSPITAL MUSKOGEE (Terminated)
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Main Details
Name
SAINT FRANCIS HOSPITAL MUSKOGEE
Subdivision Name
SAINT FRANCIS HOSPITAL MUSKOGEE SLE - SLEEP CENTER - Sleep center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH370025C
Medicare Provider Number
370025
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/23/2022
Last Recertification Date
Termination Date
Termination Reason
10/1/2023
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Saint Francis Health System
Deborah D Dage, SRVP/Chief Financial Officer
(918) 494-8418
Primary Contact
Saint Francis Health System
Robert Douglas Walker, Manager, Pharmacy
(918) 494-1059
Addresses
Street Address
151 ECO FRIENDLY DR
Muskogee, OK 74401-5060
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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