340B Drug Pricing Program Database
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DSH150021EG Parkview Hospital (Terminated)
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Main Details
Name
Parkview Hospital
Subdivision Name
FWNV1 DIAG IMAGING - Radiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150021EG
Medicare Provider Number
150021
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/2/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/18/2023
Last Recertification Date
8/15/2024
Termination Date
Termination Reason
4/1/2025
Never implemented the 340B Program
Contacts
Authorizing Official
Parkview Health System
Stanton Risser, Assoc Chief Financial Officer
(260) 266-9313
Primary Contact
Parkview Health
Stephanie Dickmeyer, 340B Program Supervisor
(260) 266-4408
Addresses
Street Address
3909 New Vision Dr
Fort Wayne, IN 46845
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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