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340B Program Terminations List - Terminations Effective 4 ... · 32 CH04166I COMMUNITY HEALTH...

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340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total) Row Num 340B ID Entity Name Entity Sub-Division Name City State 1 CAH161310-02 ADAIR COUNTY MEMORIAL HOSPITAL Adair County Health System Fontanelle Clinic Fontanelle IA 2 CAH171333-04 Clara Barton Hospital Association Clara Barton Surgical Services - Orthopedics Hoisington KS 3 CAH181311-00 ST ELIZABETH HEALTHCARE ST ELIZABETH GRANT COUNTY WILLIAMSTOWN KY 4 CAH181311-00 ST ELIZABETH HEALTHCARE ST ELIZABETH GRANT COUNTY WILLIAMSTOWN KY 5 CAH181311-00 ST ELIZABETH HEALTHCARE ST ELIZABETH GRANT COUNTY WILLIAMSTOWN KY 6 CAH181311-00 ST ELIZABETH HEALTHCARE ST ELIZABETH GRANT COUNTY WILLIAMSTOWN KY 7 CAH191325-08 LADY OF THE SEA HOSPITAL Lady of the Sea After Hours Cut Off LA 8 CAH241359-01 AVERA MARSHALL DBA AVERA MARSHALL REGIONAL MEDICAL CENTER AVERA MORNINGSIDE HEIGHTS CARE CENTER MARSHALL MN 9 CAH251300-08 SE LACKEY CAH AND NURSING HOME MAIN STREET MEDICAL CLINIC OF SEBAS SEBASTOPOL MS 10 CAH281311-00 FRANKLIN COUNTY MEMORIAL HOSPITAL FRANKLIN NE 11 CAH281311-00 FRANKLIN COUNTY MEMORIAL HOSPITAL FRANKLIN NE 12 CAH281311-00 FRANKLIN COUNTY MEMORIAL HOSPITAL FRANKLIN NE 13 CAH281311-01 FRANKLIN COUNTY MEMORIAL HOSPITAL FCMH HILDRETH MEDICAL CLINIC HILDRETH NE 14 CAH281311-02 FRANKLIN COUNTY MEMORIAL HOSPITAL FCMH CAMPBELL MEDICAL CLINIC CAMPBELL NE 15 CAH281311-03 FRANKLIN COUNTY MEMORIAL HOSPITAL FCMH POOL MEDICAL CLINIC FRANKLIN NE 16 CAH281314-00 ANNIE JEFFREY MEM. CNTY HLTH. CTR. OSCEOLA NE 17 CAH341319-06 TRANSYLVANIA COMMUNITY HOSPITAL Mission Pain Management - Transylvania Brevard NC 18 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX 19 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX 20 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX 21 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX 22 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX 23 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX 24 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX 25 CAH451371-01 SETON EDGAR B. DAVIS HOSPITAL SETON EDGAR B. DAVIS HOSPITAL SLEEP LAB LULING TX 26 CAH471307-01 PORTER HOSPITAL Porter Internal Medicine Middlebury VT 27 CAH471307-05 PORTER HOSPITAL Tapestry Midwifery Vergennes VT 28 CAH521335-04 HUDSON HOSPITAL HUDSON HOSPITAL & CLINICS / Clinic HUDSON WI 29 CH04100A WAKE HEALTH SERVICES, INC. Southeast Raleigh - South Raleigh NC 30 CH04102K GREENE COUNTY HEALTH CARE, INCORPORATED GRIMESLAND OUTREACH SERVICES GRIMESLAND NC 31 CH04102L GREENE COUNTY HEALTH CARE, INCORPORATED GRIFTON OUTREACH SERVICES GRIFTON NC 32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL 33 CH04166U COMMUNITY HEALTH CENTERS, INC. Community Health Centers, Inc. Rosemont Pediatrics ORLANDO FL 34 CH04563E GASTON FAMILY HEALTH SERVICES INC OPEN DOOR DENTISTRY Statesville NC 35 CH05203D CHERRY STREET SERVICES, INC. THE SALVATION ARMY BOOTH CLINIC Grand Rapids MI 36 CH052610AE VNA HEALTH CARE, AN ILLINOIS NOT-FOR-PROFIT CORPORATION VNA Health Center - Aurora Highland AURORA IL 37 CH06151A Brownsville Community Health Clinic Corporation Skinner Elementary Campus Care Center Brownsville TX 38 CH09815C SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. Ravenswood Family Health Center at Bay-Pulgas East Palo Alto CA 39 CH1017080 SKAGWAY, CITY OF DAHL MEMORIAL CLINIC SKAGWAY AK 40 CHC00349-00 PRAIRIE COMMUNITY HEALTH INC FAITH COMMUNITY HLTH CTR FAITH SD 41 CHC00349-00 PRAIRIE COMMUNITY HEALTH INC FAITH COMMUNITY HLTH CTR FAITH SD 42 CHC00349-00 PRAIRIE COMMUNITY HEALTH INC FAITH COMMUNITY HLTH CTR FAITH SD This list may not include all terminations due to individual extenuating circumstances. Please review the record in the 340B program database for additional termination details. Page 1 of 16
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Page 1: 340B Program Terminations List - Terminations Effective 4 ... · 32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL 33

340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

1 CAH161310-02 ADAIR COUNTY MEMORIAL HOSPITAL Adair County Health System Fontanelle Clinic Fontanelle IA

2 CAH171333-04 Clara Barton Hospital Association Clara Barton Surgical Services - Orthopedics Hoisington KS

3 CAH181311-00 ST ELIZABETH HEALTHCARE ST ELIZABETH GRANT COUNTY WILLIAMSTOWN KY

4 CAH181311-00 ST ELIZABETH HEALTHCARE ST ELIZABETH GRANT COUNTY WILLIAMSTOWN KY

5 CAH181311-00 ST ELIZABETH HEALTHCARE ST ELIZABETH GRANT COUNTY WILLIAMSTOWN KY

6 CAH181311-00 ST ELIZABETH HEALTHCARE ST ELIZABETH GRANT COUNTY WILLIAMSTOWN KY

7 CAH191325-08 LADY OF THE SEA HOSPITAL Lady of the Sea After Hours Cut Off LA

8 CAH241359-01 AVERA MARSHALL DBA AVERA MARSHALL REGIONAL MEDICAL CENTER AVERA MORNINGSIDE HEIGHTS CARE CENTER MARSHALL MN

9 CAH251300-08 SE LACKEY CAH AND NURSING HOME MAIN STREET MEDICAL CLINIC OF SEBAS SEBASTOPOL MS

10 CAH281311-00 FRANKLIN COUNTY MEMORIAL HOSPITAL FRANKLIN NE

11 CAH281311-00 FRANKLIN COUNTY MEMORIAL HOSPITAL FRANKLIN NE

12 CAH281311-00 FRANKLIN COUNTY MEMORIAL HOSPITAL FRANKLIN NE

13 CAH281311-01 FRANKLIN COUNTY MEMORIAL HOSPITAL FCMH HILDRETH MEDICAL CLINIC HILDRETH NE

14 CAH281311-02 FRANKLIN COUNTY MEMORIAL HOSPITAL FCMH CAMPBELL MEDICAL CLINIC CAMPBELL NE

15 CAH281311-03 FRANKLIN COUNTY MEMORIAL HOSPITAL FCMH POOL MEDICAL CLINIC FRANKLIN NE

16 CAH281314-00 ANNIE JEFFREY MEM. CNTY HLTH. CTR. OSCEOLA NE

17 CAH341319-06 TRANSYLVANIA COMMUNITY HOSPITAL Mission Pain Management - Transylvania Brevard NC

18 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX

19 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX

20 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX

21 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX

22 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX

23 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX

24 CAH451364-00 OTTO KAISER MEMORIAL HOSPITAL KENEDY TX

25 CAH451371-01 SETON EDGAR B. DAVIS HOSPITAL SETON EDGAR B. DAVIS HOSPITAL SLEEP LAB LULING TX

26 CAH471307-01 PORTER HOSPITAL Porter Internal Medicine Middlebury VT

27 CAH471307-05 PORTER HOSPITAL Tapestry Midwifery Vergennes VT

28 CAH521335-04 HUDSON HOSPITAL HUDSON HOSPITAL & CLINICS / Clinic HUDSON WI

29 CH04100A WAKE HEALTH SERVICES, INC. Southeast Raleigh - South Raleigh NC

30 CH04102K GREENE COUNTY HEALTH CARE, INCORPORATED GRIMESLAND OUTREACH SERVICES GRIMESLAND NC

31 CH04102L GREENE COUNTY HEALTH CARE, INCORPORATED GRIFTON OUTREACH SERVICES GRIFTON NC

32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL

33 CH04166U COMMUNITY HEALTH CENTERS, INC. Community Health Centers, Inc. Rosemont Pediatrics ORLANDO FL

34 CH04563E GASTON FAMILY HEALTH SERVICES INC OPEN DOOR DENTISTRY Statesville NC

35 CH05203D CHERRY STREET SERVICES, INC. THE SALVATION ARMY BOOTH CLINIC Grand Rapids MI

36 CH052610AE VNA HEALTH CARE, AN ILLINOIS NOT-FOR-PROFIT CORPORATION VNA Health Center - Aurora Highland AURORA IL

37 CH06151A Brownsville Community Health Clinic Corporation Skinner Elementary Campus Care Center Brownsville TX

38 CH09815C SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. Ravenswood Family Health Center at Bay-Pulgas East Palo Alto CA

39 CH1017080 SKAGWAY, CITY OF DAHL MEMORIAL CLINIC SKAGWAY AK

40 CHC00349-00 PRAIRIE COMMUNITY HEALTH INC FAITH COMMUNITY HLTH CTR FAITH SD

41 CHC00349-00 PRAIRIE COMMUNITY HEALTH INC FAITH COMMUNITY HLTH CTR FAITH SD

42 CHC00349-00 PRAIRIE COMMUNITY HEALTH INC FAITH COMMUNITY HLTH CTR FAITH SD

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 1 of 16

Page 2: 340B Program Terminations List - Terminations Effective 4 ... · 32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL 33

340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

43 CHC00349-00 PRAIRIE COMMUNITY HEALTH INC FAITH COMMUNITY HLTH CTR FAITH SD

44 CHC00349-01 PRAIRIE COMMUNITY HEALTH INC Family Health Center of Eagle Butte Eagle Butte SD

45 CHC00349-02 PRAIRIE COMMUNITY HEALTH INC Isabel Community Clinic ISABEL SD

46 CHC00349-02 PRAIRIE COMMUNITY HEALTH INC Isabel Community Clinic ISABEL SD

47 CHC00349-03 PRAIRIE COMMUNITY HEALTH INC MCINTOSH COMMUNITY CLINIC MCINTOSH SD

48 CHC00349-04 PRAIRIE COMMUNITY HEALTH INC BISON COMMUNITY CLINIC BISON SD

49 CHC08240-10 HOPEHEALTH INC HopeHealth @ McLeod Florence SC

50 CHC11298-02 TRAVIS COUNTY HEALTHCARE DISTRICT CommUnityCare Del Valle DEL VALLE TX

51 CHC11298-02 TRAVIS COUNTY HEALTHCARE DISTRICT CommUnityCare Del Valle DEL VALLE TX

52 CHC11298-16 TRAVIS COUNTY HEALTHCARE DISTRICT CommUnityCare A.K. Black Austin TX

53 CHC11298-16 TRAVIS COUNTY HEALTHCARE DISTRICT CommUnityCare A.K. Black Austin TX

54 CHC11298-16 TRAVIS COUNTY HEALTHCARE DISTRICT CommUnityCare A.K. Black Austin TX

55 CHC11298-29 TRAVIS COUNTY HEALTHCARE DISTRICT PES - ATCIC AUSTIN TX

56 CHC24130-00 CHESTNUT HEALTH SYSTEMS, INC. Chestnut Family Health Center Bloomington IL

57 CHC26512-00 PREFERRED FAMILY HEALTHCARE, INCORPORATED Preferred Family Healthcare Hannibal MO

58 CHC26512-00 PREFERRED FAMILY HEALTHCARE, INCORPORATED Preferred Family Healthcare Hannibal MO

59 CHC26613-01 ANTELOPE VALLEY COMMUNITY CLINIC Antelope Valley Community Clinic - Lancaster Lancaster CA

60 DSH030022AA MARICOPA MEDICAL CENTER Comprehensive Health Center-Attendant Care Clinic Phoenix AZ

61 DSH040084 SALINE MEMORIAL HOSPITAL BENTON AR

62 DSH050026E GROSSMONT HOSPITAL Sharp Home Infusion - Specialty Services San Diego CA

63 DSH050057A KAWEAH DELTA HEALTH CARE DISTRICT KAWEAH DELTA SKILLED NURSING CENTER VISALIA CA

64 DSH050057J KAWEAH DELTA HEALTH CARE DISTRICT KAWEAH DELTA MENTAL HEALTH HOSPITAL VISALIA CA

65 DSH050058A GLENDALE MEMORIAL HOSPITAL & HEALTH CENTER Marcia Ray Breast Center GLENDALE CA

66 DSH050077AF SCRIPPS MERCY HOSPITAL Chula Vista / Pre-Surgical Evaluation Chula Vista CA

67 DSH050077AG SCRIPPS MERCY HOSPITAL Chula Vista / Pre-Op Surgery Chula Vista CA

68 DSH050077C SCRIPPS MERCY HOSPITAL Chula Vista / PET Team Chula Vista CA

69 DSH050100B SHARP MEMORIAL HOSPITAL Sharp Mary Birch Hospital for Women and Newborns San Diego CA

70 DSH050100B SHARP MEMORIAL HOSPITAL Sharp Mary Birch Hospital for Women and Newborns San Diego CA

71 DSH050100B SHARP MEMORIAL HOSPITAL Sharp Mary Birch Hospital for Women and Newborns San Diego CA

72 DSH050100B SHARP MEMORIAL HOSPITAL Sharp Mary Birch Hospital for Women and Newborns San Diego CA

73 DSH050100B SHARP MEMORIAL HOSPITAL Sharp Mary Birch Hospital for Women and Newborns San Diego CA

74 DSH050100B SHARP MEMORIAL HOSPITAL Sharp Mary Birch Hospital for Women and Newborns San Diego CA

75 DSH050100B SHARP MEMORIAL HOSPITAL Sharp Mary Birch Hospital for Women and Newborns San Diego CA

76 DSH050115F PALOMAR MEDICAL CENTER Emergency Room Escondido CA

77 DSH050115K PALOMAR MEDICAL CENTER Palomar Outpatient Behavioral Health San Marcos CA

78 DSH050115L PALOMAR MEDICAL CENTER Palomar Health Downtown Campus / PHDC Radiology Diagnostic Escondido CA

79 DSH050262AB RONALD REAGAN UCLA MEDICAL CENTER Clinical & Translational Research Center Los Angeles CA

80 DSH050289 SETON MEDICAL CENTER DALY CITY CA

81 DSH050289A SETON MEDICAL CENTER Seton Center for Advanced Wound Care Daly City CA

82 DSH050289B SETON MEDICAL CENTER Seton Medical Center Ambulatory Surgery Center Daly City CA

83 DSH050289C SETON MEDICAL CENTER Seton Medical Center Infusion Center Daly City CA

84 DSH050289D SETON MEDICAL CENTER Seton Medical Center Neuroskeletal Imaging (NSI) Daly City CA

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 2 of 16

Page 3: 340B Program Terminations List - Terminations Effective 4 ... · 32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL 33

340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

85 DSH050289E SETON MEDICAL CENTER Seton Medical Center Coastside Emergency Services Moss Beach CA

86 DSH050289F SETON MEDICAL CENTER Seton Outpatient PT Daly City CA

87 DSH050441AD STANFORD HOSPITAL & CLINICS Dermatology Clinic-OP CTR Dermatology Alameda CA

88 DSH050441AH STANFORD HOSPITAL & CLINICS Dermatology Clinic-Dermatology-Hayward Hayward CA

89 DSH050441P STANFORD HOSPITAL & CLINICS Dermatology Clinic San Pablo CA

90 DSH050441Q STANFORD HOSPITAL & CLINICS Pain Services San Pablo CA

91 DSH050502 ST. VINCENT MEDICAL CENTER LOS ANGELES CA

92 DSH050502A ST. VINCENT MEDICAL CENTER Joint Replacement Institute/JRI Los Angeles CA

93 DSH050502B ST. VINCENT MEDICAL CENTER St. Vincent Spine Institute Los Angeles CA

94 DSH050502C ST. VINCENT MEDICAL CENTER Cancer Treatment Center/CTC Los Angeles CA

95 DSH050502D ST. VINCENT MEDICAL CENTER Asian Pacific Liver Center Los Angeles CA

96 DSH050636C POMERADO HOSPITAL Pomerado Outpatient Pavilion Clinic / General Women's Services Poway CA

97 DSH100006B ORLANDO HEALTH ORLANDO REGIONAL LUCERNE ORLANDO FL

98 DSH100007BD Florida Hospital Florida Hospital 7470-7474/7480/7482/7490-7493/7495/7496/7512-7516/7592/7595/7596/7572 Transplant CenterOrlando FL

99 DSH100007BD Florida Hospital Florida Hospital 7470-7474/7480/7482/7490-7493/7495/7496/7512-7516/7592/7595/7596/7572 Transplant CenterOrlando FL

100 DSH100086 BROWARD HEALTH NORTH POMPANO BEACH FL

101 DSH100106 Doctors Memorial Hospital, Inc Perry FL

102 DSH100106A Doctors Memorial Hospital, Inc DMH FAMILY MEDICINE MAYO FL

103 DSH100106B Doctors Memorial Hospital, Inc DMH FAMILY PRACTICE PERRY FL

104 DSH100106C Doctors Memorial Hospital, Inc DOCTORS MEMORIAL HOSPITAL INC STEINHATCHEE FL

105 DSH110064P THE MEDICAL CENTER, INC. Peds Hem/Onc Clinic Columbus GA

106 DSH110074A ATHENS REGIONAL MEDICAL CENTER, INC Home Infusion ATHENS GA

107 DSH130013D SAINT ALPHONSUS MEDICAL CENTER-NAMPA Saint Alphonsus Medical Center-Nampa Garrity Campus NAMPA ID

108 DSH140228AC SWEDISH AMERICAN HOSPITAL SWEDISH AMERICAN MEDICAL GROUP STATE-Stateline Clinic-Lab ROSCOE IL

109 DSH150072 LOGANSPORT MEMORIAL HOSPITAL LOGANSPORT IN

110 DSH150088 ST VINCENT ANDERSON REGIONAL HOSPITAL ANDERSON IN

111 DSH170058 MERCY HOSPITAL - FORT SCOTT FORT SCOTT KS

112 DSH180004 MUHLENBERG COMMUNITY HOSPITAL, INC GREENVILLE KY

113 DSH180067AK UNIVERSITY HOSPITAL UK APPALACHIAN HEART CENTER HARLAN KY

114 DSH180067AL UNIVERSITY HOSPITAL UK APPALACHIAN HEART CENTER HAZARD KY

115 DSH190041A CHRISTUS Health Shreveport-Bossier CHRISTUS Highland Medical Center SHREVEPORT LA

116 DSH190041A CHRISTUS Health Shreveport-Bossier CHRISTUS Highland Medical Center SHREVEPORT LA

117 DSH190041A CHRISTUS Health Shreveport-Bossier CHRISTUS Highland Medical Center SHREVEPORT LA

118 DSH190041AA CHRISTUS Health Shreveport-Bossier NHL RADIOLO-DIAGNOS Shreveport LA

119 DSH190041AB CHRISTUS Health Shreveport-Bossier NHL RECOVERY ROOM Shreveport LA

120 DSH190041AC CHRISTUS Health Shreveport-Bossier NHL RESPIR THERAPY Shreveport LA

121 DSH190041AD CHRISTUS Health Shreveport-Bossier NHL SPECIAL PROCEDU Shreveport LA

122 DSH190041AE CHRISTUS Health Shreveport-Bossier NHL SPEECH THERAPY Shreveport LA

123 DSH190041AF CHRISTUS Health Shreveport-Bossier NHL SURGERY-GENERAL Shreveport LA

124 DSH190041AG CHRISTUS Health Shreveport-Bossier NHL ULTRASOUND Shreveport LA

125 DSH190041D CHRISTUS Health Shreveport-Bossier NHL ACUTE PAIN MGT Shreveport LA

126 DSH190041E CHRISTUS Health Shreveport-Bossier NHL ANESTHESIOLOGY Shreveport LA

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 3 of 16

Page 4: 340B Program Terminations List - Terminations Effective 4 ... · 32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL 33

340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

127 DSH190041F CHRISTUS Health Shreveport-Bossier NHL CARDIAC CATH Shreveport LA

128 DSH190041G CHRISTUS Health Shreveport-Bossier NHL CARDIOLOGY-GEN Shreveport LA

129 DSH190041H CHRISTUS Health Shreveport-Bossier NHL CAT SCANNER Shreveport LA

130 DSH190041J CHRISTUS Health Shreveport-Bossier NHL DAY SURGERY Shreveport LA

131 DSH190041K CHRISTUS Health Shreveport-Bossier NHL DIETARY/CLINICA Shreveport LA

132 DSH190041M CHRISTUS Health Shreveport-Bossier NHL EMERGENCY ROOM Shreveport LA

133 DSH190041N CHRISTUS Health Shreveport-Bossier NHL ENDOSCOPY /G.I. Shreveport LA

134 DSH190041P CHRISTUS Health Shreveport-Bossier NHL HEMODIALYSIS Shreveport LA

135 DSH190041Q CHRISTUS Health Shreveport-Bossier NHL LDRP Shreveport LA

136 DSH190041R CHRISTUS Health Shreveport-Bossier NHL MAMMOGRAPHY Shreveport LA

137 DSH190041S CHRISTUS Health Shreveport-Bossier NHL MOTHER BABY UNI Shreveport LA

138 DSH190041T CHRISTUS Health Shreveport-Bossier NHL MRI Shreveport LA

139 DSH190041U CHRISTUS Health Shreveport-Bossier NHL NEUROPHYSIOLOGY Shreveport LA

140 DSH190041V CHRISTUS Health Shreveport-Bossier NHL NONINVASV CARDI Shreveport LA

141 DSH190041W CHRISTUS Health Shreveport-Bossier NHL NUCLEAR MEDICINE Shreveport LA

142 DSH190041X CHRISTUS Health Shreveport-Bossier NHL OCCUP THERAPY Shreveport LA

143 DSH190041Y CHRISTUS Health Shreveport-Bossier NHL PHYS THERAPY Shreveport LA

144 DSH190041Z CHRISTUS Health Shreveport-Bossier NHL PULMO FUNCTION Shreveport LA

145 DSH190046U TOURO INFIRMARY Touro Head & Neck Clinic New Orleans LA

146 DSH190098C BRFHH Shreveport LLC Childrens Health Clinic Shreveport LA

147 DSH190098V BRFHH Shreveport LLC Medicine Specialty Clinic Shreveport LA

148 DSH190145B LASALLE GENERAL HOSPITAL INC. LaSalle Primary Healthcare Center Jonesville LA

149 DSH200039AJ MAINEGENERAL MEDICAL CENTER Enterprise / MaineGeneral Neurology Augusta ME

150 DSH200039W MAINEGENERAL MEDICAL CENTER Nephrology Augusta Augusta ME

151 DSH200041G INLAND HOSPITAL Inland Medical Associates Waterville ME

152 DSH200050G MAINE COAST MEMORIAL HOSPITAL MAINE COAST REGIONAL HEALTH FACILITY ELLSWORTH ME

153 DSH230165A ST JOHN HOSPITAL & MEDICAL CENTER PROFESSIONAL BUILDING #1 DETROIT MI

154 DSH230165AJ ST JOHN HOSPITAL & MEDICAL CENTER St John Podiatry Clinic Detroit MI

155 DSH230165AL ST JOHN HOSPITAL & MEDICAL CENTER St John Surgery Clinic Detroit MI

156 DSH230165B ST JOHN HOSPITAL & MEDICAL CENTER PROFESSIONAL BUILDING II DETROIT MI

157 DSH230165B ST JOHN HOSPITAL & MEDICAL CENTER PROFESSIONAL BUILDING II DETROIT MI

158 DSH230165E ST JOHN HOSPITAL & MEDICAL CENTER OUTPATIENT SURGERY CENTER ST CLAIR SHORES MI

159 DSH230165F ST JOHN HOSPITAL & MEDICAL CENTER OUTPATIENT SATELLITE ST CLAIR SHORES MI

160 DSH230165H ST JOHN HOSPITAL & MEDICAL CENTER ST. JOHN HOSPITAL MACOMB TOWNSHIP CAMPUS MACOMB MI

161 DSH230165H ST JOHN HOSPITAL & MEDICAL CENTER ST. JOHN HOSPITAL MACOMB TOWNSHIP CAMPUS MACOMB MI

162 DSH230165M ST JOHN HOSPITAL & MEDICAL CENTER MEDICAL PAVILION TWO DETROIT MI

163 DSH230167C INGHAM REGIONAL MEDICAL CENTER McLaren Charlotte Womens Health Charlotte MI

164 DSH240100A Sanford Bemidji Medical Center Sanford Bemidji 1611 Anne Street Clinic Bemidji MN

165 DSH240100C Sanford Bemidji Medical Center Sanford Bemidji Main Clinic Bemidji MN

166 DSH240100H Sanford Bemidji Medical Center Sanford Bemidji 1705 Anne Street Clinic Bemidji MN

167 DSH240100V SANFORD BEMIDJI SANFORD BEMIDJI / Cardiology BEMIDJI MN

168 DSH240132 UNITY HOSPITAL FRIDLEY MN

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 4 of 16

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340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

169 DSH240132A UNITY HOSPITAL Virginia Piper Cancer Institute Clinic- Unity Fridley MN

170 DSH240132B UNITY HOSPITAL Virginia Piper Cancer Institute -Unity Hospital/Sister Kenny Rehabilitation - VPCI Fridley MN

171 DSH240132C UNITY HOSPITAL Virginia Piper Cancer Institute-Unity Hospital/Institute of Health and Healing Fridley MN

172 DSH240132D UNITY HOSPITAL Unity Hospital Outpatient Substance Abuse Unit Fridley MN

173 DSH310019A St. Joseph's Hospital and Medical Center Great Falls Paterson NJ

174 DSH310019B St. Joseph's Hospital and Medical Center DePaul Ambulatory Center Paterson NJ

175 DSH310019C St. Joseph's Hospital and Medical Center Comprehensive Care Center Paterson NJ

176 DSH310096 ST. MICHAEL'S MEDICAL CENTER, INC. NEWARK NJ

177 DSH310096 ST. MICHAEL'S MEDICAL CENTER, INC. NEWARK NJ

178 DSH310096 ST. MICHAEL'S MEDICAL CENTER, INC. NEWARK NJ

179 DSH330101CT NEW YORK-PRESBYTERIAN HOSPITAL WIC 168TH STREET New York NY

180 DSH330101CU NEW YORK-PRESBYTERIAN HOSPITAL WIC NAGLE AVENUE New York NY

181 DSH330101CV NEW YORK-PRESBYTERIAN HOSPITAL WIC 180TH STREET New York NY

182 DSH330101CX NEW YORK-PRESBYTERIAN HOSPITAL CARDIAC HEALTH CENTER New York NY

183 DSH330158B GOOD SAMARITAN HOSPITAL HARRIMAN DIALYSIS HARRIMAN NY

184 DSH330238 NICHOLAS H. NOYES MEMORIAL HOSPITAL DANSVILLE NY

185 DSH330238A NICHOLAS H. NOYES MEMORIAL HOSPITAL NICHOLAS H NOYES MEMORIAL HOSPITAL / After Hours Urgent Care GENESEO NY

186 DSH330238B NICHOLAS H. NOYES MEMORIAL HOSPITAL NICHOLAS H NOYES MEMORIAL HOSPITAL / Outpatient Surgery GENESEO NY

187 DSH330238C NICHOLAS H. NOYES MEMORIAL HOSPITAL Noyes Outpatient Kidney Disease and Dialysis Center Geneseo NY

188 DSH330238D NICHOLAS H. NOYES MEMORIAL HOSPITAL Noyes Outpatient / Mental Health Service DANSVILLE NY

189 DSH330306 NYU LUTHERAN MEDICAL CENTER BROOKLYN NY

190 DSH330306A NYU LUTHERAN MEDICAL CENTER NYU Lutheran Medical Center OP Infusion Services Brooklyn NY

191 DSH330353 FOREST HILLS HOSPITAL FOREST HILLS NY

192 DSH340002B MISSION HOSPITALS, INC. ST JOSEPHS HOSPITAL ASHEVILLE NC

193 DSH340002N MISSION HOSPITALS, INC. Mission Sports Medicine Asheville NC

194 DSH340014L Forsyth Memorial Hospital, Inc d/b/a Novant Health Forsyth Medical CenterNOVANT HEALTH KERNERSVILLE MEDICAL CENTER OUTPATIENT WOUND CARE CENTER KERNERSVILLE NC

195 DSH340032A GASTON MEMORIAL HOSPITAL DAY RUN GASTONIA NC

196 DSH340032C GASTON MEMORIAL HOSPITAL OUTPATIENT GASTONIA NC

197 DSH340113AK CAROLINAS MEDICAL CENTER CMC NorthPark After-Hours Pediatric Clinic Charlotte NC

198 DSH360039B GENESIS HEALTHCARE SYSTEM GOOD SAMARITAN HOSPITAL ZANESVILLE OH

199 DSH360039B GENESIS HEALTHCARE SYSTEM GOOD SAMARITAN HOSPITAL ZANESVILLE OH

200 DSH360039B GENESIS HEALTHCARE SYSTEM GOOD SAMARITAN HOSPITAL ZANESVILLE OH

201 DSH360039B GENESIS HEALTHCARE SYSTEM GOOD SAMARITAN HOSPITAL ZANESVILLE OH

202 DSH360039B GENESIS HEALTHCARE SYSTEM GOOD SAMARITAN HOSPITAL ZANESVILLE OH

203 DSH360039B GENESIS HEALTHCARE SYSTEM GOOD SAMARITAN HOSPITAL ZANESVILLE OH

204 DSH360039B GENESIS HEALTHCARE SYSTEM GOOD SAMARITAN HOSPITAL ZANESVILLE OH

205 DSH360039M GENESIS HEALTHCARE SYSTEM GENESIS WOUND CARE CENTER ZANESVILLE OH

206 DSH360361 KINGS DAUGHTERS MED CENTER OHIO PORTSMOUTH OH

207 DSH370166 Wagoner Hospital Authority dba Wagoner Community Hospital Wagoner OK

208 DSH370166 Wagoner Hospital Authority dba Wagoner Community Hospital Wagoner OK

209 DSH380029E SILVERTON HEALTH DBA SILVERTON HOSPITAL Woodburn Internal Medicine Woodburn OR

210 DSH380050T SKY LAKES MEDICAL CENTER Primary Care Clinic on Almond Klamath Falls OR

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 5 of 16

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211 DSH390086CA DUBOIS REGIONAL MEDICAL CENTER Cardiopulmonary DUBOIS PA

212 DSH390086DZ DUBOIS REGIONAL MEDICAL CENTER Penn Highlands Family Medicine-Donahue DuBois PA

213 DSH410001A MEMORIAL HOSPITAL OF RHODE ISLAND Notre Dame Ambulatory Clinic Central Falls RI

214 DSH440015P UNIVERSITY OF TENNESSEE MEDICAL CENTER University Bariatric Center Knoxville TN

215 DSH440065 NorthCrest Medical Center Springfield TN

216 DSH440065 NorthCrest Medical Center Springfield TN

217 DSH440065A NORTHCREST MEDICAL CENTER NorthCrest Hospice Springfield TN

218 DSH450054AM SCOTT AND WHITE MEMORIAL HOSPITAL SCOTT AND WHITE WACO MACARTHUR PEDIATRIC CLINIC WACO TX

219 DSH450054S SCOTT AND WHITE MEMORIAL HOSPITAL TEMPLE TOWNE CENTER TEMPLE TX

220 DSH450054S SCOTT AND WHITE MEMORIAL HOSPITAL TEMPLE TOWNE CENTER TEMPLE TX

221 DSH450054S SCOTT AND WHITE MEMORIAL HOSPITAL TEMPLE TOWNE CENTER TEMPLE TX

222 DSH450054S SCOTT AND WHITE MEMORIAL HOSPITAL TEMPLE TOWNE CENTER TEMPLE TX

223 DSH450054S SCOTT AND WHITE MEMORIAL HOSPITAL TEMPLE TOWNE CENTER TEMPLE TX

224 DSH450054S SCOTT AND WHITE MEMORIAL HOSPITAL TEMPLE TOWNE CENTER TEMPLE TX

225 DSH450054S SCOTT AND WHITE MEMORIAL HOSPITAL TEMPLE TOWNE CENTER TEMPLE TX

226 DSH450054S SCOTT AND WHITE MEMORIAL HOSPITAL TEMPLE TOWNE CENTER TEMPLE TX

227 DSH450068AH MEMORIAL HERMANN TEXAS MEDICAL CNTR Operating Room Bellaire TX

228 DSH450184DH MEMORIAL HERMANN HOSPITAL SYS Pearland Convenient Care Center Pearland TX

229 DSH450289A Harris County Hospital District dba Harris Health System BEN TAUB HOSPITAL HOUSTON TX

230 DSH450289A Harris County Hospital District dba Harris Health System BEN TAUB HOSPITAL HOUSTON TX

231 DSH450462 TEXAS HEALTH PRESBYTERIAN HOSPITAL-DALLAS DALLAS TX

232 DSH450462 TEXAS HEALTH PRESBYTERIAN HOSPITAL-DALLAS DALLAS TX

233 DSH450462 TEXAS HEALTH PRESBYTERIAN HOSPITAL-DALLAS DALLAS TX

234 DSH450462 TEXAS HEALTH PRESBYTERIAN HOSPITAL-DALLAS DALLAS TX

235 DSH450462J TEXAS HEALTH PRESBYTERIAN HOSPITAL-DALLAS WOMENS HEALTH CENTER DALLAS TX

236 DSH450462K TEXAS HEALTH PRESBYTERIAN HOSPITAL-DALLAS ARLINGTON CANCER CENTER ARLINGTON TX

237 DSH450462L TEXAS HEALTH PRESBYTERIAN HOSPITAL-DALLAS Mesquite Cancer Center Mesquite TX

238 DSH450462M TEXAS HEALTH PRESBYTERIAN HOSPITAL-DALLAS Plano Cancer Center Plano TX

239 DSH450462N TEXAS HEALTH DALLAS Texas Health Dallas Trophy Club Cancer Center Trophy Club TX

240 DSH450462P TEXAS HEALTH PRESBYTERIAN HOSPITAL-DALLAS PEDIATRIC HEALTH CENTER Dallas TX

241 DSH450462Q TEXAS HEALTH PRESBYTERIAN HOSPITAL-DALLAS CVC Clinic Dallas TX

242 DSH490024AP CARILION MEDICAL CENTER RADIOLOGY ROANOKE VA

243 DSH490024BD CARILION MEDICAL CENTER FAMILY PRACTICE SALEM SALEM VA

244 DSH490024BT CARILION MEDICAL CENTER PEDS INFECTIOUS DISEASE ROANOKE VA

245 DSH490024BU CARILION MEDICAL CENTER PEDS HOSPITALISTS ROANOKE VA

246 DSH490024CB CARILION MEDICAL CENTER ALLERGY Daleville VA

247 DSH490024CW CARILION MEDICAL CENTER CARDIOLOGY LIPID Roanoker VA

248 DSH490024CY CARILION MEDICAL CENTER CARDIO VALVE Roanoke VA

249 DSH490024DA CARILION MEDICAL CENTER PEDS ID ROANOKE Roanoke VA

250 DSH490024DQ CARILION MEDICAL CENTER PEDS ADOL MED PAT HNRY Roanoke VA

251 DSH490024DR CARILION MEDICAL CENTER PEDS ADOL MED 902 PSY Roanoke VA

252 DSH490024DT CARILION MEDICAL CENTER PEDS ADOL MED WM FLM Roanoke VA

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 6 of 16

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253 DSH490024DU CARILION MEDICAL CENTER PEDS ADOL MED PH PSY Roanoke VA

254 DSH490024DV CARILION MEDICAL CENTER PEDS ADOL MED WF PSY Roanoke VA

255 DSH490024E CARILION MEDICAL CENTER CARILION DENTAL CARE - PEDIATRICS ROANOKE VA

256 DSH490024I CARILION MEDICAL CENTER PRENATAL DIAGNOSTIC CENTER ROANOKE VA

257 DSH490024V CARILION MEDICAL CENTER CARILION ROANOKE MEMORIAL HOSPITAL HOSPITALISTS ROANOKE VA

258 DSH490024Y CARILION MEDICAL CENTER INTENSIVISTS / CARILION ROANOKE MEMORIAL HOSPITAL ROANOKE VA

259 DSH490113 SENTARA NORTHERN VIRGINIA MEDICAL CENTER WOODBRIDGE VA

260 DSH490113A SENTARA NORTHERN VIRGINIA MEDICAL CENTER ADVANCED IMAGING CENTER - SPRINGFIELD SPRINGFIELD VA

261 DSH490113B SENTARA NORTHERN VIRGINIA MEDICAL CENTER SENTARA LAKE RIDGE - Advanced Imaging Services WOODBRIDGE VA

262 DSH490113C SENTARA NORTHERN VIRGINIA MEDICAL CENTER SENTARA LORTON MARKETPLACE - Advanced Imaging Services LORTON VA

263 DSH490113D SENTARA NORTHERN VIRGINIA MEDICAL CENTER CENTURY MEDICAL BUILDING WOODBRIDGE VA

264 DSH490113E SENTARA NORTHERN VIRGINIA MEDICAL CENTER THE POTOMAC CENTER - Endoscopy WOODBRIDGE VA

265 DSH500008P UNIVERSITY OF WASHINGTON MEDICAL CENTER Sports and Spine Clinic Seattle WA

266 DSH500014A PROVIDENCE HEALTH & SERVICES - WASHINGTON PROVIDENCE REGIONAL MEDICAL CENTER EVERETT PACIFIC CAMPUS EVERETT WA

267 DSH500064AA HARBORVIEW MEDICAL CENTER Specialty Clinics 7MB Seattle WA

268 DSH510012B PLEASANT VALLEY HOSPITAL Ori Tzuk, MD Clinic Point Pleasant WV

269 DSH510082 SUMMERSVILLE MEMORIAL HOSPITAL SUMMERSVILLE WV

270 DSH510082 SUMMERSVILLE MEMORIAL HOSPITAL SUMMERSVILLE WV

271 DSH510082 SUMMERSVILLE MEMORIAL HOSPITAL SUMMERSVILLE WV

272 DSH510082 SUMMERSVILLE MEMORIAL HOSPITAL SUMMERSVILLE WV

273 DSH510082 SUMMERSVILLE MEMORIAL HOSPITAL SUMMERSVILLE WV

274 DSH510082 SUMMERSVILLE MEMORIAL HOSPITAL SUMMERSVILLE WV

275 DSH520136AQ WHEATON FRANCISCAN, INC. RADIATION ONCOLOGY CTR Brookfield WI

276 DSH520136AU WHEATON FRANCISCAN, INC. Elmbrook Radiology Elmbrook WI

277 FP008405 VI DEPT OF HEALTH FAMILY PLANNING MORRIS DE CASTRO St. John VI

278 FP041011 CITY OF PORTLAND HEALTH AND HUMAN SERVICES DEPARTMENT PUBLIC HEALTH DIVISION PORTLAND ME

279 FP041012 City of Portland Health and Human Services Department Portland High School Portland ME

280 FP04103 City of Portland Health and Human Services Department Deering High School Portland ME

281 FP041031 City of Portland Health and Human Services Department Portland Arts and Technology High School/Casco Bay High School Portland ME

282 FP10002 GOUVERNEUR HEALTHCARE SERVICES (NYCHHC) NEW YORK NY

283 FP10454 SEGUNDO RUIZ BELVIS DIAGNOSTIC & TREATMENT CENTER BRONX NY

284 FP10566 HUDSON RIVER HEALTHCARE, INC. PEEKSKILL WOMEN'S HEALTH PEEKSKILL NY

285 FP10705 Hudson River Healthcare, Inc. Valentine Lane Yonkers NY

286 FP11727 Hudson River Healthcare, Inc. Elsie Owens Coram NY

287 FP119682 Hudson River HealthCare HRHCare Kraus Family Health Center of The Hamptons Southampton NY

288 FP125084 Hudson River Healthcare, Inc. Beacon Beacon NY

289 FP12601 Hudson River Healthcare, Inc. Partnership Poughkeepsie NY

290 FP12883 Planned Parenthood of the North Country, NY Inc. Ticonderoga NY

291 FP140486 CHAUTAUQUA COUNTY HEALTH DEPARTMENT DUNKIRK DUNKIRK NY292 FP147011 CHAUTAUQUA COUNTY HEALTH DEPARTMENT JAMESTOWN JAMESTOWN NY

293 FP151041 BRADDOCK FAMILY HEALTH CENTER BRADDOCK PA

294 FP151201 STEEL VALLEY HEALTH CENTER HOMESTEAD PA

295 FP152078 HAZELWOOD FAMILY HEALTH CENTER PITTSBURGH PA

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 7 of 16

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296 FP152083 PRIMARY CARE HEALTH SERVICES INC ALMA ILLERY PITTSBURGH PA

297 FP153015 ADAGIO HEALTH WASHINGTON WASHINGTON PA

298 FP154758 CENTERVILLE CLINICS INC REPUBLIC REPUBLIC PA

299 FP188481 PHYSICIAN CARE PC FAMILY PLANNING ADMINISTRATION TOWANDA PA

300 FP19131 PUBLIC HEALTH MANAGEMENT CORPORATION HELP PHILADELPHIA PHILADELPHIA PA

301 FP19348 La Comunidad Hispana KENNETT SQUARE PA

302 FP212013 Maternal and Child Health Bureau MD STATE DEPT OF HEALTH AND MENTAL HYGIENE BALTIMORE MD

303 FP2152227 MAGEE BETHLEHEM HAVEN PITTSBURGH PA

304 FP2322312 CAPITAL AREA HEALTH NETWORK MAIN STREET MEDICAL CENTER RICHMOND VA

305 FP232232 Richmond City Health District BELLEMEADE RESOURCE CENTER RICHMOND VA

306 FP24060 Planned Parenthood South Atlantic Blacksburg Health Center BLACKSBURG VA

307 FP24946 NORTHERN GREENBRIER HEALTH CLINIC DBA BROWNING FAMILY PRACTICE Williamsburg WV

308 FP265372 PRESTON COUNTY HEALTH DEPARTMENT KINGWOOD WV

309 FP28016 Gaston County Department of Health and Human Services Bessemer City Healthcare Center Bessemer City NC

310 FP292016 SC DHEC CENTRAL OFFICE SC DHEC Division of Women's Health and Family Planning Columbia SC

311 FP320437 CLAY COUNTY HEALTH DEPARTMENT ED STANSEL CLINIC GREEN COVE SPRINGS FL

312 FP322053 DUVAL COUNTY HEALTH DEPARTMENT W JACKSONVILLE FAMILY HEALTH CENTER JACKSONVILLE FL

313 FP322083 DUVAL COUNTY HEALTH DEPARTMENT AGAPE FAMILY HEALTH CENTER JACKSONVILLE FL

314 FP322163 DUVAL COUNTY HEALTH DEPARTMENT SOUTH JACKSONVILLE PRIMARY CARE HEALTH CENTER JACKSONVILLE FL

315 FP326296 CITRUS COUNTY HEALTH DEPARTMENT CRYSTAL RIVER FAMILY PLANNING CLINIC CRYSTAL RIVER FL

316 FP334072 Palm Beach County Health Department The Senator Philip D. Lewis Center West Palm Beach FL

317 FP33414 Palm Beach County Health Department Planned Parenthood Wellington Wellington FL

318 FP33434 PALM BEACH COUNTY HEALTH DEPARTMENT PLANNED PARENTHOOD BOCA RATON BOCA RATON FL

319 FP33463 PALM BEACH COUNTY HEALTH DEPARTMENT WEST PALM BEACH CLINIC- PLANNED PARENTHOOD WEST PALM BEACH FL

320 FP33476 Palm Beach County Health Department Pahokee- Glades Health Center Pahokee FL

321 FP344611 Department of Health, Citrus County Mobile Medical Unit Lecanto FL

322 FP350205 JEFFERSON COUNTY DEPARTMENT OF HEALTH BESSEMER HEALTH CENTER BESSEMER AL

323 FP386032 BENTON COUNTY HEALTH DEPARTMENT ASHLAND MS

324 FP387564 LELAND HEALTH DEPARTMENT LELAND MS

325 FP387693 ROSEDALE HEALTH DEPARTMENT ROSEDALE MS

326 FP393454 NEWTON HEALTH DEPARTMENT NEWTON MS

327 FP394399 HEIDELBURG HEALTH DEPARTMENT HEIDELBURG MS

328 FP395337 HARRISON BILOXI CLINIC BILOXI MS

329 FP402433 MIDDLETOWN HEALTH CENTER LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS LOUISVILLE KY

330 FP403599 THREE RIVERS DISTRICT HEALTH DEPARTMENT OWENTON KY

331 FP409623 CUMBERLAND VALLEY DISTRICT HEALTH DEPARTMENT MANCHESTER KY

332 FP411436 LITTLE SANDY DISTRICT HEALTH DEPARTMENT GRAYSON KY

333 FP41175 GREENUP COUNTY HEALTH DEPARTMENT - SOUTH SHORE CLINIC SOUTH SHORE KY

334 FP430785 Union County Health Department Champaign County Urbana OH

335 FP431409 Union County Health Department Madison County site London OH

336 FP43907 BELMONT COUNTY GENERAL HEALTH DISTRICT HARRISON COUNTY HEALTH DISTRICT CADIZ OH

337 FP440031 Family Planning Association of Northeast Ohio, Inc. Ashtabula site Andover OH

338 FP44052 FAMILY PLANNING SERVICES OF LORAIN COUNTY LORAIN CLINIC LORAIN OH

339 FP47374 OPEN DOOR Health Services OPEN DOOR Family Planning/Richmond RICHMOND IN

340 FP48065 Macomb County Health Department Bruce Twp. Family Planning Bruce Township MI

341 FP48114 PLANNED PARENTHOOD OFMICHIGAN BRIGHTON HEALTH CENTER BRIGHTON MI

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 8 of 16

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342 FP48114 PLANNED PARENTHOOD OFMICHIGAN BRIGHTON HEALTH CENTER BRIGHTON MI

343 FP490105 FAMILY PLANNING ASSOCIATION OF ALLEGAN ALLEGAN MI

344 FP50644 Allen Memorial Hospital - Women's Health Department Independence Clinic Independence IA

345 FP525013 SOUTHERN IOWA FAMILY PLANNING OTTUMWA IA

346 FP527221 EDGERTON WOMEN'S HEALTH CENTER DAVENPORT IA

347 FP59917 NORTHWEST COMMUNITY HEALTH CLINIC - EUREKA NORTHWEST COMMUNITY HEALTH CENTER - EUREKA EUREKA MT

348 FP606086 Mercy Diagnostic and Treatment Center Lower West Chicago IL

349 FP60609 University of Illinois Hospital & Health Sciences System Mile Square Health Center at Back of the Yards CHICAGO IL

350 FP606121 UNIVERSITY OF ILLINOIS AT CHICAGO CENTER FOR WOMEN'S HEALTH CHICAGO IL

351 FP6061211 UNIVERSITY OF ILLINOIS AT CHICAGO MILE SQUARE HEALTH CENTER CHICAGO IL

352 FP60621 University of Illinois at Chicago Mile Square Health Center at Englewood Chicago IL

353 FP60649 University of Illinois Hospital & Health Sciences System Mile Square Health Center at South Shore CHICAGO IL

354 FP60804 University of Illinois at Chicago Mile Square Health Center at Cicero Cicero IL

355 FP619203 COLES COUNTY HEALTH DEPARTMENT CHARLESTON IL

356 FP61938 Coles County Health Department Mattoon Office Mattoon IL

357 FP620021 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION ALTON HEALTH CENTER ALTON IL

358 FP622011 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION WINDSOR HEALTH CENTER EAST ST LOUIS IL

359 FP622031 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION MOTHER AND CHILD CENTER CENTREVILLE IL

360 FP62205 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION STATE STREET CENTER EAST ST LOUIS IL

361 FP629143 SOUTHERN SEVEN HEALTH DEPT ALEXANDER COUNTY CAIRO IL

362 FP629528 SOUTHERN SEVEN HEALTH DEPT UNION COUNTY Anna IL

363 FP629605 SOUTHERN SEVEN HEALTH DEPARTMENT MASSAC COUNTY METROPOLIS IL

364 FP629828 SOUTHERN SEVEN HEALTH DEPARTMENT HARDIN CO ROSICLARE IL

365 FP629921 SOUTHERN SEVEN HEALTH DEPT CLINIC PULASKI CO ULLIN IL

366 FP629957 SOUTHERN SEVEN HEALTH DEPARTMENT JOHNSON COUNTY VIENNA IL

367 FP68066 Three Rivers Health Department Wahoo Office Wahoo NE

368 FP688501 CENTRAL HEALTH CENTER INC LEXINGTON CENTER LEXINGTON NE

369 FP74048 Morton Comprehensive Health Services, Inc. Nowata Family Health Center Nowata OK

370 FP74070 FAMILY HEALTHCARE CLINIC SKIATOOK SKIATOOK OK

371 FP741204 PLANNED PARENTHOOD OF ARKANSAS & EASTERN OKLAHOMA PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA MIDTOWN CENTER TULSA OK

372 FP786401 Community Action Inc. of Central Texas Kyle Family Planning Center Kyle TX

373 FP787416 People's Community Clinic SafePlace Austin TX

374 FP84032 PLANNED PARENTHOOD ASSOC. OF UTAH Spring Creek Family Practice Heber UT

375 FP857010 ARIZONA FAMILY HEALTH PARTNERSHIP PIMA CO HEALTH DEPT - JUVENILE DETENTION CENTER TUCSON AZ

376 FP87013 Presbyterian Medical Services Cuba School Based Health Center Cuba NM

377 FP87016 PRESBYTERIAN MEDICAL SERVICES ESPERANZA FAMILY MEDICAL CENTER ESTANCIA NM

378 FP87036 PRESBYTERIAN MEDICAL SERVICES MOUNTAINAIR FAM HLTH CTR MOUNTAINAIR NM

379 FP871047 UNM ACE Leadership High School SBHC Albuquerque NM

380 FP87124 PRESBYTERIAN MEDICAL SERVICES RIO RANCHO FAMILY HEALTH CENTER RIO RANCHO NM

381 FP87301 PRESBYTERIAN MEDICAL SERVICES WESTERN NM MEDICAL GRP - GALLUP GALLUP NM

382 FP873011 PRESBYTERIAN MEDICAL SERVICES/WESTERN NM MEDICAL GROUP GALLUP TEEN HEALTH CENTER GALLUP NM

383 FP87323 Presbyterian Medical Services WESTERN NM MED GRP - THOREAU Thoreau NM

384 FP875304 LAS CLINICAS DEL NORTE EL RITO EL RITO NM

385 FP87549 LAS CLINICAS DEL NORTE OJO CALIENTE CLINIC OJO CALIENTE NM

386 FP875561 PRESBYTERIAN MEDICAL SERVICES QUESTA HEALTH CENTER QUESTA NM

387 FP878011 PRESBYTERIAN MEDICAL SERVICES SOCORRO COMM HEALTH CENTER SOCORRO NM

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 9 of 16

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388 FP878013 Presbyterian Medical Services Socorro School-Based Health Center Socorro NM

389 FP87825 PRESBYTERIAN MEDICAL SERVICES MAGDALENA AREA HLTH CENTER MAGDALENA NM

390 FP878306 PMS DBA CATRON MEDICAL CENTER CATRON COUNTY MED CENTER RESERVE NM

391 FP88211 PMS Artesia Health Resources Artesia NM

392 FP88220 PMS CARLSBAD FAMILY HLTH CTR Carlsbad NM

393 FP88240 PMS Hobbs Family Health Center Hobbs NM

394 FP884011 Presbyterian Medical Services QUAY CTY FAMILY HLTH CTR TUCUMCARI NM

395 FP900227 Bienvenidos Community Health Center Bienvenidos Children's Center Inc. Mobile Clinic Los Angeles CA

396 FP900289 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC HOLLYWOOD LOS ANGELES CA

397 FP900289 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC HOLLYWOOD LOS ANGELES CA

398 FP900289 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC HOLLYWOOD LOS ANGELES CA

399 FP900289 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC HOLLYWOOD LOS ANGELES CA

400 FP90038 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC MELROSE LOS ANGELES CA

401 FP90038 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC MELROSE LOS ANGELES CA

402 FP90038 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC MELROSE LOS ANGELES CA

403 FP90038 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC MELROSE LOS ANGELES CA

404 FP900489 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC Beverly Health Center LOS ANGELES CA

405 FP900489 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC Beverly Health Center LOS ANGELES CA

406 FP900489 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC Beverly Health Center LOS ANGELES CA

407 FP900489 SABAN COMMUNITY CLINIC/ AKA: LOS ANGELES FREE CLINIC Beverly Health Center LOS ANGELES CA

408 FP90291 VENICE HEALTH CENTER ROBERT LEVINE HEALTH CENTER VENICE CA

409 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

410 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

411 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

412 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

413 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

414 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

415 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

416 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

417 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

418 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

419 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

420 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

421 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

422 FP91343 MISSION CITY COMMUNITY NETWORK, INC. MISSION CITY COMMUNITY NETWORK, INC. NORTH HILLS CA

423 FP95409 FEMINIST WOMEN'S HEALTH CENTERS/WOMEN'S HEALTH SPECIALISTS SANTA ROSA CLINIC Santa Rosa CA

424 FP96150 BARTON MEMORIAL HOSPITAL COMMUNITY CLINIC SOUTH LAKE TAHOE CA

425 FP98801 Family Planning of North Central Washington Twisp Wenatchee WA

426 FP99349 Family Planning of North Central Washington MATTAWA COMMUNITY MEDICAL CLINIC MATTAWA WA

427 FQ114B MISSION CITY COMMUNITY NETWORK INC Mission City Community Network- Pacoima Pacoima CA

428 FQ114B MISSION CITY COMMUNITY NETWORK INC Mission City Community Network- Pacoima Pacoima CA

429 FQ114B MISSION CITY COMMUNITY NETWORK INC Mission City Community Network- Pacoima Pacoima CA

430 FQ114F MISSION CITY COMMUNITY NETWORK INC Mission City Community Network - Victorville Victorville CA

431 FQ114F MISSION CITY COMMUNITY NETWORK INC Mission City Community Network - Victorville Victorville CA

432 FQHCLA002L COUNTY OF MONTEREY Bienestar-King City KING CITY CA

433 FQHCLA231A St. Anthony Medical Centers Hollywood Clinic Los Angeles CA

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 10 of 16

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434 FQHCLA231B St. Anthony Medical Centers Pico Clinic Los Angeles CA

435 FQHCLA231C St. Anthony Medical Centers Imperial-Vermont Clinic Los Angeles CA

436 HM55092 Fairview - University Medical Center Fairview Lakes Medical Center Wyoming MN

437 PED053305-10 LUCILE PACKARD CHILDREN'S HOSPITAL CARDIOLOGY PALO ALTO CA

438 PED053305-12 LUCILE PACKARD CHILDREN'S HOSPITAL HEMATOLOGY PALO ALTO CA

439 PED053305-14 LUCILE PACKARD CHILDREN'S HOSPITAL ONC/STEM CELL PALO ALTO CA

440 RRC050150-00 SIERRA NEVADA MEMORIAL HOSPITAL GRASS VALLEY CA

441 RRC150023-03 UNION HOSPITAL, INC. UNION HOSPITAL THOMAS PLAZA TERRE HAUTE IN

442 RRC330011-05 OUR LADY OF LOURDES MEMORIAL HOSP LOURDES CENTER FOR FAMILY HEALTH RICHFORD NY

443 RRC330011-09 OUR LADY OF LOURDES MEMORIAL HOSP LOURDES FAMILY PRACTICE UPPER FRON BINGHAMTON NY

444 RRC330011-11 OUR LADY OF LOURDES MEMORIAL HOSP LOURDES PEDIATRICS BINGHAMTON NY

445 RRC330011-16 OUR LADY OF LOURDES MEMORIAL HOSP PRIMARY CARE ASSOCIATES - WHITNEY P WHITNEY POINT NY

446 RRC330011-20 OUR LADY OF LOURDES MEMORIAL HOSP Vestal Family Practice VESTAL NY

447 RRC350011-68 Sanford Medical Center Fargo Sanford SU Eye Anesthesiology Fargo ND

448 RRC350015-00 Sanford Bismarck Bismarck ND

449 RRC350015-00 Sanford Bismarck Bismarck ND

450 RRC350015-00 Sanford Bismarck Bismarck ND

451 RRC350015-00 Sanford Bismarck Bismarck ND

452 RRC350015-00 Sanford Bismarck Bismarck ND

453 RRC350015-00 Sanford Bismarck Bismarck ND

454 RRC350015-00 Sanford Bismarck Bismarck ND

455 RRC350015-00 Sanford Bismarck Bismarck ND

456 RRC350015-00 Sanford Bismarck Bismarck ND

457 RRC350015-00 Sanford Bismarck Bismarck ND

458 RRC350015-01 Sanford Bismarck Sanford Bismarck Children's Walk In Clinic Bismarck ND

459 RRC350015-02 Sanford Bismarck Sanford Bismarck Children's Clinic Bismarck ND

460 RRC350015-03 Sanford Bismarck Sanford Bismarck Plastic Surgery Clinic Bismarck ND

461 RRC350015-04 Sanford Bismarck Sanford Bismarck Gastroenterology Clinic Bismarck ND

462 RRC350015-05 Sanford Bismarck Sanford Bismarck Rheumatology Clinic Bismarck ND

463 RRC350015-06 Sanford Bismarck Sanford Bismarck Urology Clinic Bismarck ND

464 RRC350015-07 Sanford Bismarck Sanford Bismarck Neurology Clinic Bismarck ND

465 RRC350015-08 Sanford Bismarck Sanford Bismarck Endocrinology Clinic Bismarck ND

466 RRC350015-09 Sanford Bismarck Sanford Bismarck Podiatry Clinic Bismarck ND

467 RRC350015-10 Sanford Bismarck Sanford Bismarck Pulmonology Clinic Bismarck ND

468 RRC350015-11 Sanford Bismarck Sanford Bismarck Radiology Clinic Bismarck ND

469 RRC350015-12 Sanford Bismarck Sanford Bismarck Neurosurgery Clinic Bismarck ND

470 RRC350015-13 Sanford Bismarck Sanford Bismarck Children's Oncology Clinic Bismarck ND

471 RRC350015-14 Sanford Bismarck Sanford Bismarck Nephrology Clinic Bismarck ND

472 RRC350015-16 Sanford Bismarck Sanford Bismarck Cardiovascular Surgery Clinic Bismarck ND

473 RRC350015-17 Sanford Bismarck Sanford Bismarck Internal Medicine Bismarck ND

474 RRC350015-18 Sanford Bismarck Sanford Bismarck General Surgery Clinic Bismarck ND

475 RRC350015-19 Sanford Bismarck Sanford Bismarck Physiatry Clinic Bismarck ND

476 RRC350015-20 Sanford Bismarck Sanford Bismarck Oncology Clinic/Infusion Center Bismarck ND

477 RRC350015-21 Sanford Bismarck Sanford Bismarck Orthopedics & Sports Medicine Bismarck ND

478 RRC350015-22 Sanford Bismarck Sanford Bismarck Plastic Surgery 7th & Thayer Clinic Bismarck ND

479 RRC350015-23 Sanford Bismarck Sanford Bismarck 7th & Thayer Podiatry Clinic Bismarck ND

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 11 of 16

Page 12: 340B Program Terminations List - Terminations Effective 4 ... · 32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL 33

340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

480 RRC350015-24 Sanford Bismarck Sanford Bismarck Downtown Family Medicine Clinic Bismarck ND

481 RRC350015-25 Sanford Bismarck Sanford Bismarck Downtown Internal Medicine Clinic Bismarck ND

482 RRC350015-26 Sanford Bismarck Sanford Bismarck Tom & Frances Leach Dialysis Bismarck ND

483 RRC350015-27 Sanford Bismarck Sanford Bismarck Allergy Clinic Bismarck ND

484 RRC350015-28 Sanford Bismarck Sanford Bismarck Downtown Walk In Clinic Bismarck ND

485 RRC350015-29 Sanford Bismarck Sanford Bismarck Ear, Nose & Throat Clinic Bismarck ND

486 RRC350015-30 Sanford Bismarck Sanford Bismarck Obstetrics & Gynecology Bismarck ND

487 RRC350015-31 Sanford Bismarck Sanford Bismarck Behavioral Health Bismarck ND

488 RRC350015-32 Sanford Bismarck Sanford Bismarck Pain Managment Bismarck ND

489 RRC350015-33 Sanford Bismarck Sanford Bismarck South Family Medicine Clinic Bismarck ND

490 RRC350015-34 Sanford Bismarck Sanford Bismarck Mandan East Family Medicine Clinic Mandan ND

491 RRC350015-35 Sanford Bismarck Sanford Bismarck North Family Medicine Clinic Bismarck ND

492 RRC350015-36 Sanford Bismarck Sanford Bismarck Mandan North Family Medicine Clinic Mandan ND

493 RRC350015-37 Sanford Bismarck Sanford Bismarck North Walk In Clinic Bismarck ND

494 RRC350015-38 Sanford Bismarck Sanford Bismarck Wound Care Clinic Bismarck ND

495 RRC350015-39 Sanford Bismarck Sanford Bismarck Diabetes Care Clinic Bismarck ND

496 RRC350015-40 Sanford Bismarck Sanford Bismarck Cardiology Clinic Bismarck ND

497 RRC350015-41 Sanford Bismarck Sanford Bismarck Rehab Clinic Bismarck ND

498 RRC350015-42 Sanford Bismarck Sanford Bismarck Downtown Nephrology Bismarck ND

499 RRC350015-43 Sanford Bismarck Sanford Bismarck Pediatrics North Bismarck ND

500 RRC350015-44 SANFORD HEALTH BISMARCK Sanford Health Bismarck / Sanford Bismarck Dermatology Bismarck ND

501 RRC350015-45 SANFORD HEALTH BISMARCK Sanford Health Bismarck / Sanford Bismarck Infectious Disease Bismarck ND

502 RRC350015-46 SANFORD HEALTH BISMARCK Sanford Health Bismarck / Sanford Bismarck Neonatology Bismarck ND

503 RRC350015-47 SANFORD HEALTH BISMARCK SANFORD HEALTH BISMARCK / SANFORD FORT YATES DIALYSIS Fort Yates ND

504 RRC350015-48 SANFORD HEALTH BISMARCK Sanford Health Bismarck / Sanford Jamestown Dialysis Jamestown ND

505 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

506 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

507 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

508 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

509 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

510 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

511 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

512 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

513 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

514 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

515 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

516 RRC380047-00 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend Bend OR

517 RRC380047-01 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend St. Charles Medical Oncology Clinic Bend Bend OR

518 RRC380047-02 St. Charles Health System, Inc DBA St. Charles Medical Center-Bend St. Charles Medical Oncology Clinic Redmond Redmond OR

519 RRC380047-03 ST CHARLES MEDICAL CENTER Sleep Center in Bend Bend OR

520 RRC380047-04 ST CHARLES MEDICAL CENTER Behavioral Health-Bend Bend OR

521 RRC380047-05 ST CHARLES MEDICAL CENTER WOUND OSTOMY BEND OR

522 RWI37208 METROPOLITAN INTERDENOMINATIONAL CHURCH FIRST RESPONSE CLINIC NASHVILLE TN

523 RWI37208 METROPOLITAN INTERDENOMINATIONAL CHURCH FIRST RESPONSE CLINIC NASHVILLE TN

524 RWI37208 METROPOLITAN INTERDENOMINATIONAL CHURCH FIRST RESPONSE CLINIC NASHVILLE TN

525 RWII29204 Palmetto AIDS Life Support Services, Inc. Columbia SC

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 12 of 16

Page 13: 340B Program Terminations List - Terminations Effective 4 ... · 32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL 33

340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

526 RWII29204 Palmetto AIDS Life Support Services, Inc. Columbia SC

527 RWII29204 Palmetto AIDS Life Support Services, Inc. Columbia SC

528 RWII78401 Coastal Bend Wellness Foundation Corpus Christi TX

529 RWII78401 Coastal Bend Wellness Foundation Corpus Christi TX

530 RWII78401 Coastal Bend Wellness Foundation Corpus Christi TX

531 RWII78401 Coastal Bend Wellness Foundation Corpus Christi TX

532 RWII78401 Coastal Bend Wellness Foundation Corpus Christi TX

533 RWII78401 Coastal Bend Wellness Foundation Corpus Christi TX

534 RWII78401 Coastal Bend Wellness Foundation Corpus Christi TX

535 RWII78401 Coastal Bend Wellness Foundation Corpus Christi TX

536 RWII78401 Coastal Bend Wellness Foundation Corpus Christi TX

537 RWII78401 Coastal Bend Wellness Foundation Corpus Christi TX

538 SCH130002-05 St. Luke's Magic Valley Regional Medical Center, LTD SLC General Surgery - McClusky Twin Falls ID

539 SCH130002-14 St. Luke's Magic Valley Regional Medical Center, LTD SLC General Surgery - Shuss Twin Falls ID

540 SCH130002-17 St. Luke's Magic Valley Regional Medical Center, LTD SLC Physiatry - Wiggins & Myers Twin Falls ID

541 SCH130002-29 St. Luke's Magic Valley Regional Medical Center, LTD SLC Surgicalists Twin Falls ID

542 SCH160001-00 Central Iowa Healthcare Marshalltown IA

543 SCH160001-00 Central Iowa Healthcare Marshalltown IA

544 SCH160001-00 Central Iowa Healthcare Marshalltown IA

545 SCH160001-00 Central Iowa Healthcare Marshalltown IA

546 SCH160001-00 Central Iowa Healthcare Marshalltown IA

547 SCH160001-00 Central Iowa Healthcare Marshalltown IA

548 SCH160001-00 Central Iowa Healthcare Marshalltown IA

549 SCH160001-00 Central Iowa Healthcare Marshalltown IA

550 SCH160001-01 Central Iowa Healthcare CIH Clinic - Marshalltown Marshalltown IA

551 SCH160001-02 Central Iowa Healthcare CIH Clinic - State Center State Center IA

552 SCH160001-03 Central Iowa Healthcare CIH Clinic - Conrad Conrad IA

553 SCH160001-04 Central Iowa Healthcare CIH Clinic - Tama/Toledo Toledo IA

554 SCH160001-05 CENTRAL IOWA HEALTHCARE MARSHALLTOWN MEDICAL & SURGICAL CENTER / Wound Clinic MARSHALLTOWN IA

555 SCH160001-06 CENTRAL IOWA HEALTHCARE MARSHALLTOWN MEDICAL & SURGICAL CENTER / Surgical Services MARSHALLTOWN IA

556 SCH160001-07 Central Iowa Healthcare MARSHALLTOWN MEDICAL & SURGICAL CENTER / Radiology-Diagnostic MARSHALLTOWN IA

557 SCH210028-00 St. Mary's Hospital of St. Mary's County Inc. Leonardtown MD

558 SCH230118-00 HURON MEMORIAL HOSPITAL HURON MEDICAL CENTER BAD AXE MI

559 SCH230118-01 HURON MEMORIAL HOSPITAL HURON MEDICAL CENTER / UBLY RURAL HEALTH UBLY MI

560 SCH230118-04 HURON MEMORIAL HOSPITAL Huron Medical Center / Comprehensive Wound Care Center Bad Axe MI

561 SCH240036-00 St. Cloud Hospital Saint Cloud MN

562 SCH240036-00 St. Cloud Hospital Saint Cloud MN

563 SCH240036-00 St. Cloud Hospital Saint Cloud MN

564 SCH240036-00 St. Cloud Hospital Saint Cloud MN

565 SCH240036-01 St. Cloud Hospital SCH Womens and Children Center Saint Cloud MN

566 SCH240036-02 St. Cloud Hospital SCH Physiatry Hospital OP Dept St. Cloud MN

567 SCH240036-03 St. Cloud Hospital Plaza Chemo/Infusion St. Cloud MN

568 SCH240036-04 St. Cloud Hospital SCH Outpatient Services St. Cloud MN

569 SCH240036-05 Saint Cloud Hospital Plaza Imaging Diagnostic St. Cloud MN

570 SCH240036-06 Saint Cloud Hospital SCH - PLAZA ENDOSCOPY DEPT St.Cloud MN

571 SCH240036-08 Saint Cloud Hospital SCH - Brainerd Dialysis Brainerd MN

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 13 of 16

Page 14: 340B Program Terminations List - Terminations Effective 4 ... · 32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL 33

340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

572 SCH240036-09 Saint Cloud Hospital SCH - Alexandria Dialysis Alexandria MN

573 SCH240036-10 Saint Cloud Hospital SCH - Little Falls Dialysis Little Falls MN

574 SCH240036-11 Saint Cloud Hospital SCH Staples Dialysis Staples MN

575 SCH240036-12 Saint Cloud Hospital SCH - Princeton Dialysis Princeton MN

576 SCH240036-13 Saint Cloud Hospital SCH - Cambridge Dialysis Cambridge MN

577 SCH240036-14 Saint Cloud Hospital SCH - Litchfield Dialysis Litchfield MN

578 SCH240036-15 Saint Cloud Hospital SCH - Saint Cloud Home Dialysis Saint Cloud MN

579 SCH240036-16 Saint Cloud Hospital SCH - Big Lake Dialysis Big Lake MN

580 SCH240036-17 Saint Cloud Hospital SCH Dialysis Saint Cloud MN

581 SCH240036-18 Saint Cloud Hospital Plaza Adult Physical Therapy Outpatient Saint Cloud MN

582 SCH240036-19 Saint Cloud Hospital Plaza BHC Child/Adol Psychology Saint Cloud MN

583 SCH240036-20 Saint Cloud Hospital SCH - Plaza Radiation Oncology Saint Cloud MN

584 SCH240036-21 Saint Cloud Hospital SCH-Medical Oncology Clinic Plaza Saint Cloud MN

585 SCH240036-22 ST. CLOUD HOSPITAL Wound Center Saint Cloud MN

586 SCH240036-23 Saint Cloud Hospital SCH - Recovery Plus Saint Cloud MN

587 SCH240036-24 Saint Clud Hospital SCH / Dialysis - Nocturnal Saint Cloud MN

588 SCH240036-25 ST. CLOUD HOSPITAL SCH / Peds PT Outpatient - Plaza SAINT CLOUD MN

589 SCH240036-26 ST. CLOUD HOSPITAL SCH / General Adult Psychiatry - Behavorial Health SAINT CLOUD MN

590 SCH240036-27 ST. CLOUD HOSPITAL SCH / General Adult Psychology - Behavorial Health SAINT CLOUD MN

591 SCH240036-28 ST. CLOUD HOSPITAL SCH / Child/Adolescent Special - Plaza SAINT CLOUD MN

592 SCH240036-29 ST. CLOUD HOSPITAL SCH / Dialysis - Peritoneal SAINT CLOUD MN

593 SCH240036-30 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL / Plaza Imaging Breast Center SAINT CLOUD MN

594 SCH240036-31 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL / Plaza Imaging Nuclear Med SAINT CLOUD MN

595 SCH240036-32 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL / Plaza Imaging CT Scanning SAINT CLOUD MN

596 SCH240036-33 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL / Plaza Imaging MRI SAINT CLOUD MN

597 SCH240036-34 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL / Plaza Peds OT Outpatient SAINT CLOUD MN

598 SCH240036-35 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL / Plaza Adult OT Outpatient SAINT CLOUD MN

599 SCH240036-36 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL SLEEP CENTER ST CLOUD MN

600 SCH240036-37 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL / Plaza Women's Center Behavorial Health SAINT CLOUD MN

601 SCH240036-38 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL / Plaza BHC Child/Adol Psychiatry SAINT CLOUD MN

602 SCH240036-39 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL / Plaza Radiation Oncology Clinic SAINT CLOUD MN

603 SCH240036-40 ST. CLOUD HOSPITAL ST CLOUD HOSPITAL / Plaza Perinatal Clinic SAINT CLOUD MN

604 SCH240036-41 ST. CLOUD HOSPITAL Dialysis-Acute (236) SAINT CLOUD MN

605 SCH240187-00 Hutchinson Health Hutchinson MN

606 SCH240187-00 Hutchinson Health Hutchinson MN

607 SCH240187-00 Hutchinson Health Hutchinson MN

608 SCH240187-00 Hutchinson Health Hutchinson MN

609 SCH240187-01 Hutchinson Health Hutchinson Health Cancer Clinic Hutchinson MN

610 SCH240187-01 Hutchinson Health Hutchinson Health Cancer Clinic Hutchinson MN

611 SCH240187-01 Hutchinson Health Hutchinson Health Cancer Clinic Hutchinson MN

612 SCH240187-01 Hutchinson Health Hutchinson Health Cancer Clinic Hutchinson MN

613 SCH240187-02 Hutchinson Health Hutchinson Health Clinic Hutchinson MN

614 SCH240187-02 Hutchinson Health Hutchinson Health Clinic Hutchinson MN

615 SCH240187-02 Hutchinson Health Hutchinson Health Clinic Hutchinson MN

616 SCH240187-02 Hutchinson Health Hutchinson Health Clinic Hutchinson MN

617 SCH240187-03 Hutchinson Health Hutchinson Health Orthopaedic and Rehab Clinic Hutchinson MN

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 14 of 16

Page 15: 340B Program Terminations List - Terminations Effective 4 ... · 32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL 33

340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

618 SCH240187-03 Hutchinson Health Hutchinson Health Orthopaedic and Rehab Clinic Hutchinson MN

619 SCH240187-03 Hutchinson Health Hutchinson Health Orthopaedic and Rehab Clinic Hutchinson MN

620 SCH240187-03 Hutchinson Health Hutchinson Health Orthopaedic and Rehab Clinic Hutchinson MN

621 SCH240187-04 HUTCHINSON HEALTH CARE Hutchinson Health Mental Health Clinic Hutchinson MN

622 SCH240187-04 HUTCHINSON HEALTH CARE Hutchinson Health Mental Health Clinic Hutchinson MN

623 SCH240187-04 HUTCHINSON HEALTH CARE Hutchinson Health Mental Health Clinic Hutchinson MN

624 SCH340131-00 CAROLINAEAST MEDICAL CENTER NEW BERN NC

625 SCH340131-01 CAROLINAEAST MEDICAL CENTER CAROLINAEAST SURGERY CENTER NEW BERN NC

626 SCH360109-00 Coshocton County Memorial Hospital Coshocton OH

627 SCH360109-00 Coshocton County Memorial Hospital Coshocton OH

628 SCH360109-00 Coshocton County Memorial Hospital Coshocton OH

629 SCH360109-00 Coshocton County Memorial Hospital Coshocton OH

630 SCH360109-00 Coshocton County Memorial Hospital Coshocton OH

631 SCH360109-00 Coshocton County Memorial Hospital Coshocton OH

632 SCH360109-01 Coshocton County Memorial Hospital Coshocton Hospital Family Physicians Clinic Coshocton OH

633 SCH360109-04 Coshocton County Memorial Hospital Coshocton Hospital Pleasant Valley Clinic Coshocton OH

634 SCH360109-05 Coshocton County Memorial Hospital Coshocton Hospital Arrowhead Clinic Newcomerstown OH

635 SCH360109-06 Coshocton County Memorial Hospital Coshocton Hospital Warsaw Clinic Warsaw OH

636 SCH360109-08 Coshocton County Memorial Hospital Coshocton Hospital Dresden Clinic Dresden OH

637 SCH360109-10 Coshocton County Memorial Hospital Coshocton Hospital Orthopaedic Clinic Coshocton OH

638 SCH360109-13 Coshocton County Memorial Hospital Coshocton Hospital Pain Clinic Coshocton OH

639 SCH450348-00 FALLS COMMUNITY HOSPITAL AND CLINIC MARLIN TX

640 SCH450348-00 FALLS COMMUNITY HOSPITAL AND CLINIC MARLIN TX

641 SCH450348-01 FALLS COMMUNITY HOSPITAL AND CLINIC MART CLINIC MART TX

642 SCH450348-02 FALLS COMMUNITY HOSPITAL AND CLINIC RURAL HEALTH CLINIC III ROSEBUD TX

643 SCH450348-03 FALLS COMMUNITY HOSPITAL AND CLINIC RURAL HEALTH CLINIC MARLIN TX

644 SCH450348-04 FALLS COMMUNITY HOSPITAL AND CLINIC Bremond Rural Health Clinic Bremond TX

645 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

646 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

647 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

648 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

649 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

650 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

651 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

652 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

653 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

654 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

655 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

656 SCH470005-00 RUTLAND REGIONAL MEDICAL CENTER RUTLAND VT

657 SCH470005-01 RUTLAND REGIONAL MEDICAL CENTER Rutland Regional Diabetes and Endocrinology Center Rutland VT

658 SCH470005-02 RUTLAND REGIONAL MEDICAL CENTER Rutland Regional General Surgery Rutland VT

659 SCH470005-03 RUTLAND REGIONAL MEDICAL CENTER Rutland Regional Behavioral Health Rutland VT

660 SCH470005-04 RUTLAND REGIONAL MEDICAL CENTER Rutland Regional Digestive Services Rutland VT

661 SCH470005-05 RUTLAND REGIONAL MEDICAL CENTER Rutland Heart Clinic Rutland VT

662 SCH470005-06 RUTLAND REGIONAL MEDICAL CENTER Vermont Orthopaedic Clinic Rutland VT

663 SCH470005-07 RUTLAND REGIONAL MEDICAL CENTER ENT & Audiology - Rutland Clinic Rutland VT

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 15 of 16

Page 16: 340B Program Terminations List - Terminations Effective 4 ... · 32 CH04166I COMMUNITY HEALTH CENTERS, INC. COMMUNITY HEALTH CENTER - EATONVILLE FAMILY & DENTAL CARE Orlando FL 33

340B Program Terminations List - Terminations Effective 4/2/2016 through 7/1/2016 (667 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

664 SCH470005-08 RUTLAND REGIONAL MEDICAL CENTER ENT & Audiology - East Dorset Clinic East Dorset VT

665 STD292015 SC DHEC CENTRAL OFFICE SC DHEC Division of STD/HIV Columbia SC

666 STD52002 Planned Parenthood of the Heartland Dubuque Dubuque IA

667 DSH420018M PALMETTO RICHLAND Palmetto Health Richland Springs Columbia SC

This list may not include all terminations due to individual extenuating circumstances.

Please review the record in the 340B program database for additional termination details.

Page 16 of 16


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