340B Drug Pricing Program Database
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SCH170175-00 St. Catherine Hospital - Dodge City (Active)
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Main Details
Name
St. Catherine Hospital - Dodge City
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH170175-00
Medicare Provider Number
170175
Additional Details
Current Program Status
Active
Registration Date
1/11/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/26/2023
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
CommonSpirit Health
Shawna Roark, VP of Finance & CFO
(620) 272-2551
Primary Contact
CommonSpirit Health
Samantha Morgan, System Manager, 340B Program
(303) 673-7354
Addresses
Street Address
3001 Avenue A
Dodge City, KS 67801
Billing Address
CommonSpirit Health
PO Box 372660
Denver, CO 80237
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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