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HM10988 ST LOUIS UNIVERSITY MEDICAL CENTER (Terminated)
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Main Details
Name
ST LOUIS UNIVERSITY MEDICAL CENTER
Subdivision Name
CENTER FOR BLEEDING & THROMBOTIC DISORDERS
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM10988
Grant Number
H30MC00040
Additional Details
Current Program Status
Terminated
Registration Date
1/1/2002
Participating Start Date
1/1/2002
Participating Approval Date
3/18/2005
Last Recertification Date
2/26/2024
Termination Date
Termination Reason
7/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
saint louis University
Susan Schuler, Business Manager
(314) 977-1735
Primary Contact
Saint Louis University Medical Center
Roger Craig Andrews, Associate Director
(314) 577-8915
Addresses
Street Address
3655 VISTA AVENUE
ST LOUIS, MO 63110
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/18/05 - ADDRESS CHANGE (WAS 3635 VISTA AVENUE), NEW CONTACT
01/01/2002
April 2025
April 2025
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