340B Drug Pricing Program Database
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DSH370004A INTEGRIS MIAMI HOSPITAL (Active)
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Main Details
Name
INTEGRIS MIAMI HOSPITAL
Subdivision Name
INTEGRIS Internal Medicine Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH370004A
Medicare Provider Number
370004
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/17/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/14/2022
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
INTEGRIS Health
Georg F. Lunday, Chief Pharmacy Officer
(405) 401-4842
Primary Contact
INTEGRIS Health
Christopher K. Yang, 340B Coordinator
(405) 795-2545
Addresses
Street Address
310 2ND AVE SW
INTEGRIS MIAMI HOSPITAL - INTEGRIS MEDICAL GROUP MIAMI
SUITE 103
MIAMI, OK 74354-6743
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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