340B Drug Pricing Program Database
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DSH370004B INTEGRIS MIAMI HOSPITAL (Active)
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Main Details
Name
INTEGRIS MIAMI HOSPITAL
Subdivision Name
INTEGRIS MIAMI HOSPITAL - INTEGRIS PRIMARY CARE MIAMI
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH370004B
Medicare Provider Number
370004
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/9/2023
Last Recertification Date
8/26/2024
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
SUITE 101
Miami, OK 74354-6815
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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