340B Drug Pricing Program Database
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DSH260141DH University of Missouri Health Care (Active)
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Main Details
Name
University of Missouri Health Care
Subdivision Name
MIZZOU URGENT CARE MEXICO - Urgent Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH260141DH
Medicare Provider Number
260141
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/4/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/6/2024
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
University of Missouri Health Care
KERI SIMON, Chief Operating Officer, Hospital Services
(573) 882-8359
Primary Contact
University of Missouri Health Care
Jacob Simons, Pharmacy Business Director
(573) 884-4614
Addresses
Street Address
3626 S CLARK STREET
SUITE C
MEXICO, MO 65265-4104
Billing Address
University of Missouri Health Care
One Hospital Drive
Columbia, MO 65212
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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