340B Drug Pricing Program Database
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DSH460009PT University of Utah (Active)
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Main Details
Name
University of Utah
Subdivision Name
UNIVERSITY OF UTAH HOSPITALS AND CL - UH VOICE DISORDERS CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH460009PT
Medicare Provider Number
460009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/4/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/6/2024
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
University of Utah Hospitals and Clinics
Charlton Gordon Park, Chief Financial Officer
(801) 585-1325
Primary Contact
University of Utah Health
Sara Bamford, 340B Pharmacy Manager
(801) 587-1229
Addresses
Street Address
729 S ARAPEEN DR
SALT LAKE CITY, UT 84108-1218
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2024, terminated 4/1/2024. Reinstated 7/1/2024.
05/03/2024
April 2025
April 2025
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