340B Drug Pricing Program Database
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DSH290007AK UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA (Active)
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Main Details
Name
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
Subdivision Name
UNIVERSITY MEDICAL CENTER - EXPRESS CARE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH290007AK
Medicare Provider Number
290007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2023
Participating Start Date
4/1/2023
Participating Approval Date
1/26/2023
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
University Medical Center of Southern Nevada
Mason Van Houweling, CEO
(702) 383-3862
Primary Contact
University Medical Center of Southern Nevada
Jamie King, Director, Pharmaceutical Services
(702) 383-3791
Addresses
Street Address
5757 WAYNE NEWTON BLVD
LAS VEGAS, NV 89111-8037
Billing Address
University Medical Center of Southern Nevada
1800 W Charleston Blvd
Las Vegas, NV 89102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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