+ All Categories
Home > Documents > 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo...

340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo...

Date post: 05-Jul-2020
Category:
Upload: others
View: 3 times
Download: 0 times
Share this document with a friend
13
340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total) Row Num 340B ID Entity Name Entity Sub-Division Name City State 1 CAH011302-03 RED BAY HOSPITAL Med Express Ford City Muscle Shoals AL 2 CAH031303-00 S.E. ARIZONA MED. CTR. DOUGLAS AZ 3 CAH041311-00 HOWARD MEMORIAL HOSPITAL NASHVILLE AR 4 CAH041314-00 DeWitt Hospital & Nursing Home DeWitt AR 5 CAH041314-01 DeWitt Hospital & Nursing Home Ferguson Rural Health Clinic DeWitt AR 6 CAH041328-00 Chicot Memorial Medical Center Lake Village AR 7 CAH051302-00 SOUTHERN INYO HOSPITAL LONE PINE CA 8 CAH051305-00 MAYERS MEMORIAL HOSPITAL FALL RIVER MILLS CA 9 CAH131323-06 ST. LUKE'S WOOD RIVER MEDICAL CENTER SLC WOOD RIVER DERMATOLOGY HAILEY ID 10 CAH131323-07 ST. LUKE'S WOOD RIVER MEDICAL CENTER SUN VALLEY SPORTS MEDICINE HAILEY ID 11 CAH131323-15 ST. LUKES WOOD RIVER MEDICAL CENTER SLWRMC WRIM-INTERNAL MEDICINE / WRFM SLC WOOD RIVER GENERAL SURGERY Hailey ID 12 CAH141304-02 Genesis Medical Center, Aledo Medical Associates Clinic - Dicklin Aledo IL 13 CAH141320-02 HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. FAMILY MEDICAL CENTER-KANSAS KANSAS IL 14 CAH151312-00 Indiana University Health White Memorial Hospital MONTICELLO IN 15 CAH151326-01 UNION HOSPITAL CLINTON UNION HOSPITAL CLINTON HEALTH CENTER CLINTON IN 16 CAH161323-03 Mitchell County Regional Health Center Stacyville Clinic Stacyville IA 17 CAH161355-04 KNOXVILLE COMMUNITY HOSPITAL INC. MELCHER CLINIC MELCHER IA 18 CAH171353-02 Phillips County Hospital LOGAN MEDICAL CLINIC LOGAN KS 19 CAH171361-00 REPUBLIC COUNTY HOSPITAL BELLEVILLE KS 20 CAH171363-02 Community Memorial Healthcare, Inc Marysville Clinic Marysville KS 21 CAH181312-00 NEW HORIZON MEDICAL CENTER OWENTON KY 22 CAH181312-01 NEW HORIZON MEDICAL CENTER NEW HORIZON FAMILY PRACTICE OWENTON KY 23 CAH181312-02 NEW HORIZON MEDICAL CENTER NEW HORIZON HEALTH SYSTEMS, INC. OWENTON KY 24 CAH181319-02 BRECKINRIDGE HEALTH BRECKINRIDGE HOME HEALTH HARDINSBURG KY 25 CAH191306-00 WEST FELICIANA PARISH HOSPITAL A POLITICAL SUBDIVISION OF THE PARISH OF WEST FELICIANA PARISH SAINT FRANCISVILLE LA 26 CAH241327-00 SLEEPY EYE MEDICAL CENTER SLEEPY EYE MN 27 CAH251300-01 INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMO Main Street Medical Clinic of Sebastopol Sebastapol MS 28 CAH251300-06 SE LACKEY CAH AND NURSING HOME Lackey Outpatient Behavioral Health of Pelahatchie Pelathatchie MS 29 CAH251302-03 PIONEER HEALTH SERVICES OF MONROE COUNTY, INC. D/B/A PIONEER C PIONEER FAMILY MEDICAL OF AMORY AMORY MS 30 CAH251302-07 PIONEER COMMUNITY HOSP OF ABERDEEN Pioneer Outpatient Behavioral Health of Amory Amory MS 31 CAH251302-09 PIONEER COMMUNITY HOSP OF ABERDEEN Pioneer Outpatient Behavioral Health of Columbus Columbus MS 32 CAH251302-10 PIONEER COMMUNITY HOSP OF ABERDEEN Pioneer Outpatient Behavioral Health of Starkville Starkville MS 33 CAH261328-07 NORTHWEST MEDICAL CENTER ASSOCIATION, INC. NORTHWEST MEDICAL CENTER-HOME HEALTH ALBANY MO 34 CAH261329-09 COX MONETT HOSPITAL, INC. Cassville-MRI Cassville MO 35 CAH261329-12 COX MONETT HOSPITAL, INC. Cassville-Mammography Cassville MO 36 CAH301309-01 MONADNOCK COMMUNITY HOSPITAL Rivermead Peterborough NH 37 CAH341317-03 Pioneer Health Services of Stokes, Inc. d/b/a Pioneer Community Hospital Pioneer Family Medical of Walnut Cove Walnut Cove NC 38 CAH341317-07 Pioneer Health Services of Stokes, Inc d/b/a Pioneer Community Hospital Pioneer Family Medical and Specialty Clinic King: Physical Therapy King NC 39 CAH351310-01 HAZEN MEMORIAL HOSPITAL DBA SAKAKAWEA MEDICAL CENTER Sakakawea Hazen Clinic Hazen ND 40 CAH361302-07 TWIN CITY HOSPITAL Trinity Medical Group Coshocton 1 Coshocton OH 41 CAH371309-00 PAWHUSKA HOSPITAL, INC. PAWHUSKA OK 42 CAH371325-00 CORDELL MEMORIAL HOSPITAL CORDELL OK 43 CAH381301-00 COTTAGE GROVE COMMUNITY HOSPITAL COTTAGE GROVE OR 44 CAH381302-09 NORTH LINCOLN HOSPITAL SNLH AMBULATORY INFUSION/WOUND OSTOMY LINCOLN CITY OR 45 CAH381322-00 CURRY HEALTH DISTRICT GOLD BEACH OR 46 CAH381322-01 CURRY HEALTH DISTRICT Brookings Clinic Brookings 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 1 of 13
Transcript
Page 1: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

1 CAH011302-03 RED BAY HOSPITAL Med Express Ford City Muscle Shoals AL

2 CAH031303-00 S.E. ARIZONA MED. CTR. DOUGLAS AZ

3 CAH041311-00 HOWARD MEMORIAL HOSPITAL NASHVILLE AR

4 CAH041314-00 DeWitt Hospital & Nursing Home DeWitt AR

5 CAH041314-01 DeWitt Hospital & Nursing Home Ferguson Rural Health Clinic DeWitt AR

6 CAH041328-00 Chicot Memorial Medical Center Lake Village AR

7 CAH051302-00 SOUTHERN INYO HOSPITAL LONE PINE CA

8 CAH051305-00 MAYERS MEMORIAL HOSPITAL FALL RIVER MILLS CA

9 CAH131323-06 ST. LUKE'S WOOD RIVER MEDICAL CENTER SLC WOOD RIVER DERMATOLOGY HAILEY ID

10 CAH131323-07 ST. LUKE'S WOOD RIVER MEDICAL CENTER SUN VALLEY SPORTS MEDICINE HAILEY ID

11 CAH131323-15 ST. LUKES WOOD RIVER MEDICAL CENTER SLWRMC WRIM-INTERNAL MEDICINE / WRFM SLC WOOD RIVER GENERAL SURGERY Hailey ID

12 CAH141304-02 Genesis Medical Center, Aledo Medical Associates Clinic - Dicklin Aledo IL

13 CAH141320-02 HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. FAMILY MEDICAL CENTER-KANSAS KANSAS IL

14 CAH151312-00 Indiana University Health White Memorial Hospital MONTICELLO IN

15 CAH151326-01 UNION HOSPITAL CLINTON UNION HOSPITAL CLINTON HEALTH CENTER CLINTON IN

16 CAH161323-03 Mitchell County Regional Health Center Stacyville Clinic Stacyville IA

17 CAH161355-04 KNOXVILLE COMMUNITY HOSPITAL INC. MELCHER CLINIC MELCHER IA

18 CAH171353-02 Phillips County Hospital LOGAN MEDICAL CLINIC LOGAN KS

19 CAH171361-00 REPUBLIC COUNTY HOSPITAL BELLEVILLE KS

20 CAH171363-02 Community Memorial Healthcare, Inc Marysville Clinic Marysville KS

21 CAH181312-00 NEW HORIZON MEDICAL CENTER OWENTON KY

22 CAH181312-01 NEW HORIZON MEDICAL CENTER NEW HORIZON FAMILY PRACTICE OWENTON KY

23 CAH181312-02 NEW HORIZON MEDICAL CENTER NEW HORIZON HEALTH SYSTEMS, INC. OWENTON KY

24 CAH181319-02 BRECKINRIDGE HEALTH BRECKINRIDGE HOME HEALTH HARDINSBURG KY

25 CAH191306-00 WEST FELICIANA PARISH HOSPITAL A POLITICAL SUBDIVISION OF THE PARISH OF WEST FELICIANA PARISH SAINT FRANCISVILLE LA

26 CAH241327-00 SLEEPY EYE MEDICAL CENTER SLEEPY EYE MN

27 CAH251300-01 INDEPENDENT HEALTHCARE MANAGMENT, INC. D/B/A SE LACKEY MEMORIAL HOSPITALMain Street Medical Clinic of Sebastopol Sebastapol MS

28 CAH251300-06 SE LACKEY CAH AND NURSING HOME Lackey Outpatient Behavioral Health of Pelahatchie Pelathatchie MS

29 CAH251302-03 PIONEER HEALTH SERVICES OF MONROE COUNTY, INC. D/B/A PIONEER COMMUNITY HOSPITALPIONEER FAMILY MEDICAL OF AMORY AMORY MS

30 CAH251302-07 PIONEER COMMUNITY HOSP OF ABERDEEN Pioneer Outpatient Behavioral Health of Amory Amory MS

31 CAH251302-09 PIONEER COMMUNITY HOSP OF ABERDEEN Pioneer Outpatient Behavioral Health of Columbus Columbus MS

32 CAH251302-10 PIONEER COMMUNITY HOSP OF ABERDEEN Pioneer Outpatient Behavioral Health of Starkville Starkville MS

33 CAH261328-07 NORTHWEST MEDICAL CENTER ASSOCIATION, INC. NORTHWEST MEDICAL CENTER-HOME HEALTH ALBANY MO

34 CAH261329-09 COX MONETT HOSPITAL, INC. Cassville-MRI Cassville MO

35 CAH261329-12 COX MONETT HOSPITAL, INC. Cassville-Mammography Cassville MO

36 CAH301309-01 MONADNOCK COMMUNITY HOSPITAL Rivermead Peterborough NH

37 CAH341317-03 Pioneer Health Services of Stokes, Inc. d/b/a Pioneer Community Hospital of StokesPioneer Family Medical of Walnut Cove Walnut Cove NC

38 CAH341317-07 Pioneer Health Services of Stokes, Inc d/b/a Pioneer Community Hospital of StokesPioneer Family Medical and Specialty Clinic King: Physical Therapy King NC

39 CAH351310-01 HAZEN MEMORIAL HOSPITAL DBA SAKAKAWEA MEDICAL CENTER Sakakawea Hazen Clinic Hazen ND

40 CAH361302-07 TWIN CITY HOSPITAL Trinity Medical Group Coshocton 1 Coshocton OH

41 CAH371309-00 PAWHUSKA HOSPITAL, INC. PAWHUSKA OK

42 CAH371325-00 CORDELL MEMORIAL HOSPITAL CORDELL OK

43 CAH381301-00 COTTAGE GROVE COMMUNITY HOSPITAL COTTAGE GROVE OR

44 CAH381302-09 NORTH LINCOLN HOSPITAL SNLH AMBULATORY INFUSION/WOUND OSTOMY LINCOLN CITY OR

45 CAH381322-00 CURRY HEALTH DISTRICT GOLD BEACH OR

46 CAH381322-01 CURRY HEALTH DISTRICT Brookings Clinic Brookings 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 1 of 13

Page 2: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

47 CAH381322-02 CURRY HEALTH DISTRICT Brookings Urgent Care Brookings OR

48 CAH431314-00 Bennett County Hospital and Nursing Home Martin SD

49 CAH501320-00 Quincy Valley Medical Center Quincy WA

50 CAH501325-00 FORKS COMMUNITY HOSPITAL FORKS WA

51 CAH501325-01 FORKS COMMUNITY HOSPITAL RURAL HEALTH CLINIC III FORKS WA

52 CAH501325-02 FORKS COMMUNITY HOSPITAL RURAL HEALTH CLINIC CLALLAM BAY WA

53 CAH501329-00 PeaceHealth United General Medical Center SEDRO-WOOLLEY WA

54 CAH501329-01 PeaceHealth United General Medical Center North Puget Cancer Center Sedro-Woolley WA

55 CAH511321-04 ST. JOSEPHS HOSPITAL ST JOSEPHS HOSPITAL OF BUCKHANNON I- Family Practice BUCKHANNON WV

56 CAH521325-00 FLAMBEAU HOSPITAL, INC. PARK FALLS WI

57 CAH521355-01 BERLIN MEMORIAL HOSPITAL CHN Medical Center Princeton Princeton WI

58 CAH521355-02 BERLIN MEMORIAL HOSPITAL CHN Medical Center Montello Montello WI

59 CAH521355-03 BERLIN MEMORIAL HOSPITAL CHN Medical Center Markesan Markesan WI

60 CAH521355-04 BERLIN MEMORIAL HOSPITAL CHN Medical Center Green Lake Green Lake WI

61 CAH521355-05 BERLIN MEMORIAL HOSPITAL CHN Medical Center Ripon Ripon WI

62 CAH521355-06 BERLIN MEMORIAL HOSPITAL CHN Medical Center Wautoma Wautoma WI

63 CAH521355-07 BERLIN MEMORIAL HOSPITAL CHN Medical Center Eastridge Berlin WI

64 CAH521355-08 BERLIN MEMORIAL HOSPITAL CHN Orthopedics and Sports Medicine Berlin WI

65 CH01083AG GREAT BROOK VALLEY HEALTH CENTER, INC. Spectrum Health Services Primary Care Worcester MA

66 CH02371BJ INSTITUTE FOR FAMILY HEALTH, THE NEW YORK CITY RESCUE MISSION New York NY

67 CH040230 DUVAL COUNTY HEALTH DEPARTMENT JACKSONVILLE FL

68 CH04060AA MOUNTAIN COMPREHENSIVE HEALTH CORP., INC. Leatherwood Elementary School Based Clinic Cornettsville KY

69 CH04060AB MOUNTAIN COMPREHENSIVE HEALTH CORP., INC. R.W. Combs Elementary School Based Clinic Happy KY

70 CH04060Y MOUNTAIN COMPREHENSIVE HEALTH CORP., INC. Viper Elementary School Based Clinic Viper KY

71 CH04656E HARDIN COUNTY REGIONAL HEALTH CENTER LIFESPAN HEALTH WAYNESBORO TN

72 CH05004D SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORPORATION MURPHYSBORO HEALTH CENTER Murphysboro IL

73 CH051516AA GREATER ELGIN FAMILY CARE CENTER ELLIS MIDDLE SCHOOL Elgin IL

74 CH051516AB GREATER ELGIN FAMILY CARE CENTER GEFCC ELGIN COMMUNITY COLLEGE Elgin IL

75 CH051638B HEALTH PARTNERS OF WESTERN OHIO Kenton Interim Community Health Center Kenton OH

76 CH05213N CHRISTOPHER RURAL HEALTH PLANNING CORP REA CLINIC-HERRIN Herrin IL

77 CH05315C COMMUNITY HEALTH IMPROVEMENT CENTER Frances Nelson Health Center CHAMPAIGN IL

78 CH05315J COMMUNITY HEALTH IMPROVEMENT CENTER Promise Healthcare at the Community Resource Center URBANA IL

79 CH05315K COMMUNITY HEALTH IMPROVEMENT CENTER Promise Healthcare at Community Elements CHAMPAIGN IL

80 CH05758G University of Illinois Mile Square IHC North Center Clinic Chicago IL

81 CH060950 REGENCE HEALTH NETWORK, INC. Regence Health Network, Inc. RMA - PAS Plainview TX

82 CH075000 COUNTY OF SHAWNEE SHAWNEE COUNTY HEALTH AGENCY Topeka KS

83 CH08017H PUEBLO COMMUNITY HEALTH CENTER Freed Middle School Pueblo CO

84 CH09108W CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. Chula Vista Medical Plaza Chula Vista CA

85 CH09116H SALUD PARA LA GENTE GREEN VALLEY CLINIC WATSONVILLE CA

86 CH09130A CANYONLANDS COMMUNITY HEALTH CARE KAIBETO BOARDING SCHOOL CLINIC KAIBETO AZ

87 CH09359C UNITED COMMUNITY HEALTH CENTER-MARIA AUXILIADORA, INC. ALTAR VALLEY HLTH & WELLNESS CTR TUCSON AZ

88 CHC26601-06 FAMILY MEDICINE RESIDENCY OF IDAHO Family Medicine Health Center-Garden City Garden City ID

89 DSH010029A EAST ALABAMA MEDICAL CENTER MEDICAL ARTS DIAGNOSTICS OPELIKA AL

90 DSH010029E EAST ALABAMA MEDICAL CENTER EAMC-Lanier-Rehab Services Valley AL

91 DSH010029F EAST ALABAMA MEDICAL CENTER EAMC-Lanier/Laboratory Valley AL

92 DSH010029G EAST ALABAMA MEDICAL CENTER EAMC-Lanier/Operating Room Valley AL

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 13

Page 3: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

93 DSH010029H EAST ALABAMA MEDICAL CENTER EAMC-Lanier/Radiology Valley AL

94 DSH010029J EAST ALABAMA MEDICAL CENTER EAMC-Lanier/Emergency Services Valley AL

95 DSH010029K EAST ALABAMA MEDICAL CENTER EAMC-Lanier/Sleep Services Valley AL

96 DSH010095 HALE COUNTY HOSPITAL GREENSBORO AL

97 DSH010113 MOBILE INFIRMARY MEDICAL CENTER MOBILE AL

98 DSH010113A MOBILE INFIRMARY MEDICAL CENTER Infirmary Eastern Shore / Outpatient Surgery Daphne AL

99 DSH010113B MOBILE INFIRMARY MEDICAL CENTER Heart Failure Clinic Mobile AL

100 DSH010113C MOBILE INFIRMARY MEDICAL CENTER Infusion Center Mobile AL

101 DSH040007J ST VINCENT INFIRMARY MEDICAL CENTER St Vincent Longevity Center-West Little Rock AR

102 DSH040114C Baptist Health Medical Center - Little Rock Kidney Transplant Little Rock AR

103 DSH050039 ENLOE MEDICAL CENTER CHICO CA

104 DSH050039A ENLOE MEDICAL CENTER Enloe Regional Cancer Center / Infusion Therapy Clinic Chico CA

105 DSH050039B ENLOE MEDICAL CENTER Surgery Center CHICO CA

106 DSH050039C ENLOE MEDICAL CENTER ENLOE MEDICAL CENTER / Hemotology Oncology CHICO CA

107 DSH050039D ENLOE MEDICAL CENTER ENLOE WOUND/OSTOMY & HYPERBARIC CEN CHICO CA

108 DSH050039E ENLOE MEDICAL CENTER ENLOE NEUROSURGICAL & SPINE CLINIC CHICO CA

109 DSH050039F ENLOE MEDICAL CENTER ENLOE ORTHOPEDIC & TRAUMA CLINIC CHICO CA

110 DSH050039G ENLOE MEDICAL CENTER Enloe / Behavioral Health CHICO CA

111 DSH050039H ENLOE MEDICAL CENTER Enloe / Anticoag Clinic CHICO CA

112 DSH050039J ENLOE MEDICAL CENTER ENLOE COMPREHENSIVE BREAST CARE CHICO CA

113 DSH050039K ENLOE MEDICAL CENTER ENLOE/PromPt Care CHICO CA

114 DSH050039L ENLOE MEDICAL CENTER ENLOE / Prompt Care CHICO CA

115 DSH050039M ENLOE MEDICAL CENTER ENLOE ENT HEAD AND NECK SPECIALISTS CHICO CA

116 DSH050056 ANTELOPE VALLEY HOSPITAL LANCASTER CA

117 DSH050056A ANTELOPE VALLEY HOSPITAL Antelope Valley Hospital Wound Care Clinic Lancaster CA

118 DSH050056B ANTELOPE VALLEY HOSPITAL Antelope Valley Hospital OB Clinic Lancaster Lancaster CA

119 DSH050056C ANTELOPE VALLEY HOSPITAL Antelope Valley Hospital O.B. Clinic Palmdale CA

120 DSH050077AY SCRIPPS MERCY HOSPITAL Mercy San Diego Outpatient Rehab / OT San Diego CA

121 DSH050077AZ SCRIPPS MERCY HOSPITAL ST / Mercy San Diego ST San Diego CA

122 DSH050077BA SCRIPPS MERCY HOSPITAL Physical Therapy / PT San Diego CA

123 DSH050093A SAINT AGNES MEDICAL CENTER California Eye Institute FRESNO CA

124 DSH050115B PALOMAR MEDICAL CENTER Palomar Health Expresscare- San Elijo Hills (San Marcos) San Marcos CA

125 DSH050115C PALOMAR MEDICAL CENTER Palomar Health Expresscare- Temecula Temecula CA

126 DSH050115D PALOMAR MEDICAL CENTER Palomar Health Expresscare- Escondido Escondido CA

127 DSH050115E PALOMAR MEDICAL CENTER PHDC Operating Room/ Surgical Platform Escondido CA

128 DSH050159U Ventura County Medical Center Ventura County Mental Health Ventura CA

129 DSH050159X Ventura County Medical Center Employee Health Services Ventura CA

130 DSH050189C SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL DBA GEORGE L. MEE MEMORIAL HOSPITALMEE MEMORIAL HOSPITAL MOBILE HEALTHCARE UNIT KING CITY CA

131 DSH050189G SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL DBA GEORGE L. MEE MEMORIAL HOSPITALFamily Medical Center King City CA

132 DSH050196 Central Valley General Hospital Hanford CA

133 DSH050222E SHARP CHULA VISTA MEDICAL CENTER Infusion Center Chula Vista CA

134 DSH050222F SHARP CHULA VISTA MEDICAL CENTER Infusion Center Chula Vista CA

135 DSH050222G SHARP CHULA VISTA MEDICAL CENTER Ambulatory Care Center Chula Vista CA

136 DSH050225L FEATHER RIVER HOSPITAL Feather River OB GYN Associates Paradise CA

137 DSH050228E SAN FRANCISCO GENERAL HOSPITAL Psychiatric Emergency Services San Francisco CA

138 DSH050327AB LOMA LINDA UNIVERSITY MEDICAL CENTER SH NUCLEAR MEDICINE REDLANDS 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 3 of 13

Page 4: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

139 DSH050327AU LOMA LINDA UNIVERSITY MEDICAL CENTER MCHS DIABETES TREATMENT CENTER BEAUMONT CA

140 DSH050348AJ UCI MEDICAL CENTER Beckman Surgery Laser Center 7033 Irvine CA

141 DSH050348BU UCI MEDICAL CENTER Audiology 7215 Orange CA

142 DSH050350 BEVERLY HOSPITAL MONTEBELLO CA

143 DSH050407 CHINESE HOSPITAL SAN FRANCISCO CA

144 DSH050407A CHINESE HOSPITAL Outpatient Therapy Center/Infusion Center San Francisco CA

145 DSH050441AL STANFORD HOSPITAL & CLINICS Radiology-Diagnostic Stanford CA

146 DSH050441AP STANFORD HOSPITAL & CLINICS Physical Therapy-Rehab-Ortho Sports Therapy Redwood City CA

147 DSH050441AR STANFORD HOSPITAL & CLINICS Clinic-Immunology-Ortho OPC Redwood City CA

148 DSH050441AS STANFORD HOSPITAL & CLINICS Surgery Clinic-Vascular Lab-RWC Redwood City CA

149 DSH050441AV STANFORD HOSPITAL & CLINICS Physical Therapy-Rehab-Hand Therapy Redwood City CA

150 DSH050441BD STANFORD HOSPITAL & CLINICS Dermatology Clinic-Dermatology Medicine-Vaden Stanford CA

151 DSH050441BE STANFORD HOSPITAL & CLINICS Ophthalmology Clinic-Vaden Stanford CA

152 DSH050441BY STANFORD HOSPITAL & CLINICS Cancer Clinic-GI Oncology-BW Palo Alto CA

153 DSH050441C STANFORD HOSPITAL & CLINICS STANFORD POSITIVE CARE CLINIC Atherton CA

154 DSH050441CF STANFORD HOSPITAL & CLINICS Clinic-Infectious Disease Palo Alto CA

155 DSH050441CJ STANFORD HOSPITAL & CLINICS Clinic-Stanford Executive Medicine Palo Alto CA

156 DSH050441CK STANFORD HOSPITAL & CLINICS Clinic-Immunology-BW Palo Alto CA

157 DSH050441CM STANFORD HOSPITAL & CLINICS CV Surgery Clinic-Cardiothoracic Surgery-BW Palo Alto CA

158 DSH050441CN STANFORD HOSPITAL & CLINICS Electrocardiology-ECG-BW Palo Alto CA

159 DSH050441CR STANFORD HOSPITAL & CLINICS Dermatology Clinic-OP CTR Dermatology Los Altos CA

160 DSH050441CS STANFORD HOSPITAL & CLINICS Dermatology Surgery Redwood City CA

161 DSH050441CV STANFORD HOSPITAL & CLINICS Infectious Disease-OPC Redwood City CA

162 DSH050441D STANFORD HOSPITAL & CLINICS ARRILLAGA SPORTS CENTER / Sports Medicine Stanford CA

163 DSH050441S STANFORD HOSPITAL & CLINICS Radiology-Diagnostic Los Gatos CA

164 DSH050441X STANFORD HOSPITAL & CLINICS Clinic-Stanford Coordinated Care Palo Alto CA

165 DSH050590B METHODIST HOSPITAL OF SACRAMENTO Methodist Hospital Family Practice Clinic Sacramento CA

166 DSH070022B YALE NEW HAVEN HOSPITAL Shoreline Radiology Guilford CT

167 DSH070022BD YALE NEW HAVEN HOSPITAL Diagnostic Radiology Spine Center New Haven CT

168 DSH070022BE YALE NEW HAVEN HOSPITAL Diagnostic Radiology New Haven CT

169 DSH070022BF YALE NEW HAVEN HOSPITAL Diagnostic Radiology Ped Norwalk Norwalk CT

170 DSH070022BG YALE NEW HAVEN HOSPITAL Diagnostic Radiology North Haven North Haven CT

171 DSH070022BH YALE NEW HAVEN HOSPITAL Diagnostic Radiology Ped Long Wharf New Haven CT

172 DSH070022BJ YALE NEW HAVEN HOSPITAL Diagnostic Radiology Hamden Hamden CT

173 DSH070022BX YALE NEW HAVEN HOSPITAL Hamden Pediatrics Hamden CT

174 DSH070022F YALE NEW HAVEN HOSPITAL Shoreline Nuclear Medicine Guilford CT

175 DSH070022G YALE NEW HAVEN HOSPITAL Temple Radiology New Haven CT

176 DSH070022Z YALE NEW HAVEN HOSPITAL Obstetrics,Gynecology & Reproductive Services New Haven CT

177 DSH090006A PROVIDENCE HOSPITAL Center for Infectious Diseases Washington DC

178 DSH100012F LEE MEMORIAL HEALTH SYSTEM DBA LEE MEMORIAL HOSPITAL ACCESS INFUSION FORT MYERS FL

179 DSH100017C HALIFAX HEALTH MEDICAL CENTER Halifax Professional Center Daytona Beach FL

180 DSH100017H HALIFAX HEALTH MEDICAL CENTER Halifax Health Medical Center of Port Orange Port Orange FL

181 DSH100017J HALIFAX HEALTH MEDICAL CENTER Halifax Health - 201 Building Daytona Beach FL

182 DSH100025AN SACRED HEART HEALTH SYSTEM SACRED HEART MEDICAL GROUP- GULF SHORES GULF SHORES AL

183 DSH100025AP SACRED HEART HEALTH SYSTEM SACRED HEART MEDICAL GROUP- FOLEY FOLEY AL

184 DSH100025AU SACRED HEART HEALTH SYSTEM Pediatric Surgery Pensacola FL

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 13

Page 5: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

185 DSH100025AY SACRED HEART HEALTH SYSTEM Bariatrics - Dr. Huyhn Pensacola FL

186 DSH100025BJ SACRED HEART HEALTH SYSTEM Pediatrics - Destin Santa Rosa Beach FL

187 DSH100025BK SACRED HEART HEALTH SYSTEM Internal Medicine - Dr. Martin Pensacola FL

188 DSH100025BS SACRED HEART HEALTH SYSTEM Pain Management - Dr. Chipman Miramar Beach FL

189 DSH100038E SOUTH BROWARD HOSPITAL DISTRICT DBA MEMORIAL REGIONAL HOSPITALSOUTH CAMPUS HOLLYWOOD FL

190 DSH100038M SOUTH BROWARD HOSPITAL DISTRICT DBA MEMORIAL REGIONAL HOSPITALEndoscopy Hollywood FL

191 DSH110007AG PHOEBE PUTNEY MEMORIAL HOSPITAL Phoebe North / Respiratory Therapy ALBANY GA

192 DSH110018A PIEDMONT NEWTON HOSPITAL MRI Center Covington GA

193 DSH110018B PIEDMONT NEWTON HOSPITAL EAST ATLANTA HEMAOLOGY & ONCOLOGY COVINGTON GA

194 DSH110032 Stephens County Hospital Toccoa GA

195 DSH110051 UNION GENERAL HOSPITAL BLAIRSVILLE GA

196 DSH110051A UNION GENERAL HOSPITAL BLUE MOUNTAIN FAMILY PRACTICE BLAIRSVILLE GA

197 DSH110194 DONALSONVILLE HOSPITAL DONALSONVILLE GA

198 DSH130006CK ST LUKES REGIONAL MEDICAL CENTER, LTD. ST LUKES RHEUMATOLOGY-MERIDIAN-E LOUISE DR MERIDIAN ID

199 DSH130006CZ ST LUKES REGIONAL MEDICAL CENTER, LTD. ANTICOAGULATION CLINIC-W JEFFERSON ST BOISE ID

200 DSH130006FT ST LUKES REGIONAL MEDICAL CENTER, LTD. ID PEDIATRIC GASTROENTEROLOGY MERIDIAN ID

201 DSH130006HA ST. LUKES REGIONAL MEDICAL CENTER ID Pediatric Gastroenterology / ACST SLC ANAL RECTAL MONOMETRY Boise ID

202 DSH130006J ST LUKES REGIONAL MEDICAL CENTER, LTD. ST LUKES UROLOGY-PARK CTR BOISE ID

203 DSH130007CJ ST. ALPHONSUS REGIONAL MED CENTER SAMG Sports Medicine MHP Meridian ID

204 DSH130007CS ST. ALPHONSUS REGIONAL MED CENTER SAMG Orthopedics Emerald Boise ID

205 DSH130007DK ST. ALPHONSUS REGIONAL MED CENTER SAMG Sports Medicine Emerald / Sports Medicine Boise ID

206 DSH140091A The Carle Foundation Hospital Danville Surgicenter - Recovery Center Danville IL

207 DSH140091Q The Carle Foundation Hospital Cancer Center - Oncology Administrat Urbana IL

208 DSH140091S The Carle Foundation Hospital Cancer Center - CT Scans-Cancer Center Urbana IL

209 DSH140158G MERCY HOSPITAL AND MEDICAL CENTER ASHLAND CHICAGO IL

210 DSH140206H NORWEGIAN AMERICAN HOSPITAL Norwegian American Hospital INC / Nurse Midwife Program Chicago IL

211 DSH140224 PRESENCE SAINT JOSEPH HOSP-CHICAGO CHICAGO IL

212 DSH140224A PRESENCE SAINT JOSEPH HOSP-CHICAGO Infusion Services Chicago IL

213 DSH180021 PINEVILLE COMMUNITY HOSPITAL ASSOC., INC. PINEVILLE KY

214 DSH180141A UNIVERSITY OF LOUISVILLE HOSPITAL BROWN CANCER CENTER LOUISVILLE KY

215 DSH180141B UNIVERSITY OF LOUISVILLE HOSPITAL OUTPATIENT SERVICES LOUISVILLE KY

216 DSH180141C UNIVERSITY OF LOUISVILLE HOSPITAL HEALTH CARE OUTPATIENT CENTER LOUISVILLE KY

217 DSH190019F CHRISTUS ST FRANCES CABRINI HOSPITAL CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Coumadin Clinic Alexandria LA

218 DSH190019H CHRISTUS ST FRANCES CABRINI HOSPITAL CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Gynacology Clinic Alexandria LA

219 DSH190019J CHRISTUS ST FRANCES CABRINI HOSPITAL CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Cardiology Clinic Alexandria LA

220 DSH190019M CHRISTUS ST FRANCES CABRINI HOSPITAL CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Pediatric Care Clinic Alexandria LA

221 DSH190204 OCHSNER MEDICAL CENTER -NORTHSHORE SLIDELL LA

222 DSH200018X THE AROOSTOOK MEDICAL CENTER AROOSTOOK MEDICAL CENTER - OCCUPATIONAL HEALTH PRESQUE ISLE ME

223 DSH200039M MAINEGENERAL MEDICAL CENTER MaineGeneral Allergy & Asthma Augusta ME

224 DSH230035B SPECTRUM HEALTH UNITED HOSPITAL Spectrum Health United Hospital - Wound Clinic GREENVILLE MI

225 DSH230038D SPECTRUM HEALTH HOSPITALS SPECTRUM HEALTH-EAST PARIS SURGICAL CENTER GRAND RAPIDS MI

226 DSH230038M SPECTRUM HEALTH HOSPITALS Spectrum Health Blodgett Campus - WOC Clinic GRAND RAPIDS MI

227 DSH230046R UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS Chelsea Health Center Chelsea MI

228 DSH230053EF HENRY FORD HOSPITAL Henry Ford Medical Center Pierson General Surgery Grosse Pointe Farms MI

229 DSH230053EH HENRY FORD HOSPITAL Henry Ford Medical Center Pierson Anti-Coagulation Grosse Pointe Farms MI

230 DSH230053GC HENRY FORD HOSPITAL Henry Ford Medical Center Fairlane Pulmonary Dearborn 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 5 of 13

Page 6: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

231 DSH230053MM HENRY FORD HOSPITAL Henry Ford Medical Center Warren Physical Therapy Warren MI

232 DSH230053MX HENRY FORD HOSPITAL Henry Ford Medical Center Cottage Radiology Grosse Pointe Farms MI

233 DSH230053PC Henry Ford Hospital Henry Ford Medical Center Dearborn Ford Road Chemical Dependency Dearborn MI

234 DSH230053QJ Henry Ford Hospital Henry Ford Medical Center Woodhaven After Hours Care Woodhaven MI

235 DSH230053RG Henry Ford Hospital Henry Ford Medical Center Cottage Cardiac Rehab Grosse Pointe Farms MI

236 DSH230053SR HENRY FORD HOSPITAL Henry Ford Medical Center West Bloomfield Athletic Medicine West Bloomfield MI

237 DSH230053SS HENRY FORD HOSPITAL Henry Ford Medical Center West Bloomfield Allergy West Bloomfield MI

238 DSH230053SX HENRY FORD HOSPITAL Henry Ford Medical Center West Bloomfield / Anti-Coagulation Clinic West Bloomfield MI

239 DSH230165AB ST JOHN HOSPITAL & MEDICAL CENTER Romeo Plank Family Practice/St John Hospital and Medical Center Macomb MI

240 DSH230165U ST JOHN HOSPITAL & MEDICAL CENTER Cornerstone Romeo Family Practice Washington MI

241 DSH240004C HENNEPIN COUNTY MEDICAL CENTER Richfield Clinic Richfield MN

242 DSH240106C REGIONS HOSPITAL HSC Dexascan St. Paul MN

243 DSH240106D REGIONS HOSPITAL HSC Ultrasound Saint Paul MN

244 DSH240106E REGIONS HOSPITAL HSC CT Scan Saint Paul MN

245 DSH240106F REGIONS HOSPITAL HSC 401 Magnetic Resonance Imaging Saint Paul MN

246 DSH240106G REGIONS HOSPITAL HSC PET Scan Saint Paul MN

247 DSH240106N REGIONS HOSPITAL CARDIOPULMONARY REHAB ST PAUL MN

248 DSH240106P REGIONS HOSPITAL HSC HAND THERAPY ST PAUL MN

249 DSH240106S REGIONS HOSPITAL PHYSICAL THERAPY SAINT PAUL MN

250 DSH240106T REGIONS HOSPITAL REGIONS HOSPITAL REHABILITATION INS WOODBURY MN

251 DSH240106U REGIONS HOSPITAL RIVERSIDE HAND AND PHYSICAL THERAPY MINNEAPOLIS MN

252 DSH250001E UNIVERSITY HOSPITALS AND CLINICS Communicative Sciences (JMM Audiology) Jackson MS

253 DSH250004D NORTH MISSISSIPPI MEDICAL CENTER NMMC Outpatient Infusion Annex Tupelo MS

254 DSH250019DC MEMORIAL HOSPITAL AT GULFPORT Walk-In Clinic at Pharmacy in the Bay Bay St. Louis MS

255 DSH260141AE University of Missouri Health Care WCH Outpatient Pediatric OT Columbia MO

256 DSH260141AP University of Missouri Health Care WCH Outpatient Pediatric PT Columbia MO

257 DSH310019E St. Joseph's Hospital and Medical Center Family Health Center Paterson NJ

258 DSH330044G Faxton St. Luke's Healthcare Genesee Urgent Care Utica NY

259 DSH330055B NewYork-Presbyterian / Queens Family Health Center Flushing NY

260 DSH330055P NewYork-Presbyterian / Queens NYHQ Ambulance Service Flushing NY

261 DSH330084F ALICE HYDE MEDICAL CENTER HEMODIALYSIS UNIT MALONE NY

262 DSH330086 THE MOUNT VERNON HOSPITAL MOUNT VERNON NY

263 DSH330101AN NEW YORK-PRESBYTERIAN HOSPITAL MILSTEIN EMERGENCY B New York NY

264 DSH330101CK NEW YORK-PRESBYTERIAN HOSPITAL PHYSICAL MEDICINE CLINIC New York NY

265 DSH330160F STATEN ISLAND UNIVERSITY HOSPITAL Bay Street Health Center Staten Island NY

266 DSH330195D LONG ISLAND JEWISH MEDICAL CENTER North Shore - LIJ Medical Group Urgent Care Center Rego Park NY

267 DSH330214J NYU HOSPITALS CENTER NYU Langone Levit Medical Arts Pavilion - Ambulatory Care Brooklyn NY

268 DSH330221D WYCKOFF HEIGHTS MEDICAL CENTER LAMARCA FAMILY HEALTH CENTER BROOKLYN NY

269 DSH330234K Westchester Medical Center MidHudson Regional Hospital: 6 Cooke Poughkeepsie NY

270 DSH330234L Westchester Medical Center MidHudson Regional Hospital: Alcohol Rehab Poughkeepsie NY

271 DSH330285AS STRONG MEMORIAL HOSPITAL PULSIFER MEDICAL ASSOCIATES-Family Medicine ROCHESTER NY

272 DSH330285AV STRONG MEMORIAL HOSPITAL CLINTON MEDICAL ASSOCIATES-Family Medicine ROCHESTER NY

273 DSH330285Q STRONG MEMORIAL HOSPITAL Audiology Clinton Wood Rochester NY

274 DSH330285T STRONG MEMORIAL HOSPITAL Clinton Perinatal Clinic Rochester NY

275 DSH330394AT UNITED HEALTH SERVICES HOSPITALS, INC. UHS Wilson Square - Infectious Disease Johnson City NY

276 DSH340003B NORTHERN HOSPITAL DISTRICT OF SURRY COUNTY HOSPITALISTS OF MOUNT AIRY MOUNT AIRY NC

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 13

Page 7: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

277 DSH340113AJ CAROLINAS MEDICAL CENTER Nuclear Medicine Charlotte NC

278 DSH340119 The Charlotte-Mecklenburg Hospital Authority dba Carolinas Healthcare System Stanly ALBEMARLE NC

279 DSH340186 East Carolina Health - Beaufort Inc. DBA Vidant Beaufort Hospital Washington NC

280 DSH340186A East Carolina Health - Beaufort Inc. Marion L. Shepard Cancer Center Washington NC

281 DSH360008V SOUTHERN OHIO MEDICAL CENTER Medical Center Psychiatric Services / Medical Center Psychiatric Services Portsmouth OH

282 DSH360039D GENESIS HEALTHCARE SYSTEM GENESIS HEALTH CENTER NEW CONCORD NEW CONCORD OH

283 DSH360059DF METROHEALTH MEDICAL CENTER METROHEALTH SYSTEM / PULMONARY FUNCTION-BROADWAY CLEVELAND OH

284 DSH360085AH THE OHIO STATE UNIVERSITY HOSPITAL CAREPOINT EAST / Carepoint East - Physical Therapy COLUMBUS OH

285 DSH360085AS THE OHIO STATE UNIVERSITY HOSPITAL SPORTS MEDICINE & REHAB AT HILLIARD HILLIARD OH

286 DSH360085AT THE OHIO STATE UNIVERSITY HOSPITAL SPORTS MEDICINE & REHABILITATION DO COLUMBUS OH

287 DSH360085AV THE OHIO STATE UNIVERSITY HOSPITAL OSU Sports Medicine / Sports Medicine PT - Grove City Grove City OH

288 DSH360085AW THE OHIO STATE UNIVERSITY HOSPITAL STONERIDGE MEDICAL SERVICES / Sports Medicine PT - Stoneridge DUBLIN OH

289 DSH360085AY THE OHIO STATE UNIVERSITY HOSPITAL CARPOINT AT GAHANNA / OSU Sports Medicine Center at Carepoint Gahanna GAHANNA OH

290 DSH360085BA THE OHIO STATE UNIVERSITY HOSPITAL CAREPOINT LEWIS CENTER / OSU Sports Medicine at Carepoint Lewis Center LEWIS CENTER OH

291 DSH360085BJ THE OHIO STATE UNIVERSITY HOSPITAL MARTHA MOREHOUSE MEDICAL PLAZA / Sports Medicine PT - Morehouse Suite 3100 COLUMBUS OH

292 DSH360085BR THE OHIO STATE UNIVERSITY HOSPITAL OSU Havener Eye Institute / HB Opthalmology Avery Muirfield Drive Dublin OH

293 DSH360085BZ THE OHIO STATE UNIVERSITY HOSPITAL OSU Harding Hospital / Electro Therapy Columbus OH

294 DSH360085CA THE OHIO STATE UNIVERSITY HOSPITAL OSU Harding Hospital / Neuropsychology Lab Columbus OH

295 DSH360085CB THE OHIO STATE UNIVERSITY HOSPITAL OSU Harding Hospital / OSU Harding Adult Partial Hospitalization Program Columbus OH

296 DSH360137C UNIVERSITY HOSPITALS OF CLEVELAND SUBURBAN HEALTH CENTER SOUTH EUCLID OH

297 DSH360137F UNIVERSITY HOSPITALS OF CLEVELAND TWINSBURG HEALTH CENTER TWINSBURG OH

298 DSH360137H UNIVERSITY HOSPITALS OF CLEVELAND CONCORD HEALTH CENTER CONCORD TWP OH

299 DSH360137J UNIVERSITY HOSPITALS OF CLEVELAND MEDINA HEALTH CENTER MEDINA OH

300 DSH370103 SAYRE MEMORIAL HOSPITAL SAYRE OK

301 DSH370112 Sequoyah County City of Sallisaw Hospital Authority Sallisaw OK

302 DSH370218 SAINT FRANCIS HOSPITAL SOUTH TULSA OK

303 DSH370218A SAINT FRANCIS HOSPITAL SOUTH SAINT FRANCIS HOSPITAL SOUTH LLC / Outpatient Radiology BROKEN ARROW OK

304 DSH370218B SAINT FRANCIS HOSPITAL SOUTH SAINT FRANCIS HOSPITAL SOUTH LLC / MRI Broken Arrow OK

305 DSH370218C SAINT FRANCIS HOSPITAL SOUTH SAINT FRANCIS HOSPITAL SOUTH LL / CT SCAN Broken Arrow OK

306 DSH380004J ST. VINCENT MEDICAL CENTER Outpatient Transfusion Portland OR

307 DSH380025B LEGACY MOUNT HOOD MEDICAL CENTER Legacy Mount Hood UltraSound Gresham OR

308 DSH380029 SILVERTON HEALTH DBA SILVERTON HOSPITAL SILVERTON OR

309 DSH380029C SILVERTON HEALTH DBA SILVERTON HOSPITAL Woodburn Specialist Center Woodburn OR

310 DSH380029D SILVERTON HEALTH DBA SILVERTON HOSPITAL Silverton Specialist Center Silverton OR

311 DSH380029F SILVERTON HEALTH DBA SILVERTON HOSPITAL Woodburn Family Medicine Woodburn OR

312 DSH380029G SILVERTON HEALTH DBA SILVERTON HOSPITAL Silverton Family Physicians Silverton OR

313 DSH380029H SILVERTON HEALTH DBA SILVERTON HOSPITAL Woodburn Immediate Care Woodburn OR

314 DSH380029K SILVERTON HEALTH DBA SILVERTON HOSPITAL Mt Angel Family Medicine Mt Angel OR

315 DSH380029L SILVERTON HOSPITAL KEIZER FAMILY MEDICINE KEIZER OR

316 DSH380060D Adventist Medical Center-Portland Home Infusion Therapy Portland OR

317 DSH390081 Delaware County Memorial Hospital Drexel Hill PA

318 DSH390081A Delaware County Memorial Hospital DCMH Cyberknife Havertown PA

319 DSH390081B Delaware County Memorial Hospital DCMH Center for Rehab & Sports Medicine Upper Darby PA

320 DSH390081C Delaware County Memorial Hospital Crozer Keystone Surgery Center at Haverford Havertown PA

321 DSH390090M WEST PENN HOSPITAL AHN Center for Diabetes Pittsburgh PA

322 DSH390111B THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PHILADELPHIA 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 13

Page 8: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

323 DSH390111C THE HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA PENN MEDICINE RADNOR Radnor PA

324 DSH390180 Crozer Chester Medical Center Upland PA

325 DSH390180A Crozer Chester Medical Center Geriatrics Clinic Crum Lynne PA

326 DSH390180B Crozer Chester Medical Center Taylor Made Physical Therapy Ridley Park PA

327 DSH390180D Crozer Chester Medical Center Crozer Medical Associates Crum Lynne PA

328 DSH390180E Crozer Chester Medical Center Media Medical Imaging Media PA

329 DSH390180F Crozer Chester Medical Center Brinton Lake I Glen Mills PA

330 DSH390180G Crozer Chester Medical Center Brinton Lake II Glen Mills PA

331 DSH390180H Crozer Chester Medical Center Taylor Hospital Ridley Park PA

332 DSH390180J Crozer Chester Medical Center Springfield Hospital Springfield PA

333 DSH390180K Crozer Chester Medical Center Crozer Keystone Surgery Center at Brinton Lake Glen Mills PA

334 DSH390180L Crozer Chester Medical Center Community Hospital Chester PA

335 DSH390180M Crozer Chester Medical Center Springfield Center for Family Health Springfield PA

336 DSH390180N Crozer Chester Medical Center Center for Wound Healing and Hyperbaric Medicine - Crozer Chester PA

337 DSH390180P Crozer Chester Medical Center Taylor Hospital Home Health Agency SPRINGFIELD PA

338 DSH400016 AUXILIO MUTUO HOSPITAL SAN JUAN PR

339 DSH420069 CLARENDON MEMORIAL HOSPITAL MANNING SC

340 DSH420069A CLARENDON MEMORIAL HOSPITAL MANNING MEDICINE MANNING SC

341 DSH420069B CLARENDON MEMORIAL HOSPITAL PALMETTO PRIMARY CARE MANNING SC

342 DSH420069C CLARENDON MEMORIAL HOSPITAL EAST CLARENDON MEDICAL CENTER TURBEVILLE SC

343 DSH420069D CLARENDON MEMORIAL HOSPITAL DR. J. DAULTON DUBOSE MEDICAL CENTER SUMMERTON SC

344 DSH420069E CLARENDON MEMORIAL HOSPITAL ROBERT S. EAGERTON JR. MD FAMILY PRACTICE MANNING SC

345 DSH420069F CLARENDON MEMORIAL HOSPITAL CLARENDON CARDIOVASCULAR ASSOCIATES MANNING SC

346 DSH420078T Greenville Memorial Hospital Surgical Orthopedic Clinic - N Greenville Travelers Rest SC

347 DSH430027AQ SANFORD USD MEDICAL CENTER Sanford Dialysis Chamberlain SD

348 DSH430027AR SANFORD USD MEDICAL CENTER Sanford Dialysis Madison Madison SD

349 DSH430027AS SANFORD USD MEDICAL CENTER Sanford Dialysis Wagner Wagner SD

350 DSH440032 HAWKINS COUNTY MEMORIAL HOSPITAL WELLMONT HEALTH SYSTEM ROGERSVILLE TN

351 DSH440032A HAWKINS COUNTY MEMORIAL HOSPITAL Kingsport Hematology Oncology Kingsport TN

352 DSH440032B HAWKINS COUNTY MEMORIAL HOSPITAL Wellmont Cancer Institute Johnson City TN

353 DSH440032C HAWKINS COUNTY MEMORIAL HOSPITAL WELLMONT SPINE & REHABILITATION ROGERSVILLE TN

354 DSH440049DD METHODIST H/C MEMPHIS HOSPT. Methodist Healthcare Oncology Clinic Collierville TN

355 DSH440063B JOHNSON CITY MEDICAL CENTER Regional Cancer Center @ Johnson City Medical Center Kingsport TN

356 DSH450018AT UNIVERSITY OF TEXAS MEDICAL BRANCH UTMB MEDICAL SPECIALTIES FRIENDSWOOD - ENDOCRINOLOGY & RHEUMATOLOGY CLINIC FRIENDSWOOD TX

357 DSH450032 GOOD SHEPHERD MEDICAL CENTER - MARSHALL MARSHALL TX

358 DSH450032A GOOD SHEPHERD MEDICAL CENTER - MARSHALL Marshall Pediatric Clinic Marshall TX

359 DSH450032B GOOD SHEPHERD MEDICAL CENTER - MARSHALL East Texas Pediatrics Marshall TX

360 DSH450032C GOOD SHEPHERD MEDICAL CENTER - MARSHALL Good Shepherd Family Health Center Marshall TX

361 DSH450079J Baylor Scott & White Medical Center - Irving Diabetes Center Irving TX

362 DSH450128 Knapp Medical Center Weslaco TX

363 DSH450213AD UNIVERSITY HEALTH SYSTEM Ophthalmology Clinic San Antonio TX

364 DSH450213BH UNIVERSITY HEALTH SYSTEM BEXAR COUNTY HOSPITAL DISTRICT - Oral Surgery Clinic SAN ANTONIO TX

365 DSH450848B Memorial Hermann Sugar Land Hospital Richmond Bone and Joint-Sugarcreek Sugar Land TX

366 DSH450848C Memorial Hermann Sugar Land Hospital Richmond Bone and Joint-Richmond Richmond TX

367 DSH490024CM CARILION MEDICAL CENTER GENETICS NRV CANCER Christiansburg VA

368 DSH490024DG CARILION MEDICAL CENTER ORTHO SPINE CNRV Christiansburg 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 8 of 13

Page 9: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

369 DSH490024DJ CARILION MEDICAL CENTER ORTHO SPORTS MED NRV Christiansburg VA

370 DSH490024F CARILION MEDICAL CENTER CARILION DENTAL CARE - HOSPITAL ROANOKE VA

371 DSH490052BK RIVERSIDE REGIONAL MEDICAL CENTER RVS EAR, NOSE & THROAT PHYS & SURGE GLOUCESTER VA

372 DSH490052W RIVERSIDE REGIONAL MEDICAL CENTER Riverside Neurology and Sleep Specialists Newport News VA

373 DSH500026B SWEDISH EDMONDS CENTER FOR WOUND HEALING AND HYPERBARICS EDMONDS WA

374 DSH500026C SWEDISH EDMONDS PAIN TREATMENT CENTER EDMONDS WA

375 DSH500026D SWEDISH EDMONDS SPECIALTY CLINIC EDMONDS WA

376 DSH500027AR SWEDISH MEDICAL CENTER OUTPATIENT PHYSICAL THERAPY SEATTLE WA

377 DSH500053AC KENNEWICK GENERAL HOSPITAL KGH WALK-IN CARE KENNEWICK WA

378 DSH500053AH KENNEWICK GENERAL HOSPITAL KGH Medical Group-Psychiatry Kennewick WA

379 DSH500053D KENNEWICK GENERAL HOSPITAL KGh Medical Group Kennewick WA

380 DSH500053H KENNEWICK GENERAL HOSPITAL KGH Medical Group / Cynergy Family Medicine Kennewick WA

381 DSH500053J KENNEWICK GENERAL HOSPITAL KGH Medical Group / Pediatrics Kennewick WA

382 DSH500053N KENNEWICK GENERAL HOSPITAL KGH - Cardiology Kennewick WA

383 DSH500053W KENNEWICK GENERAL HOSPITAL KGH FAMILY PRACTICE KENNEWICK WA

384 DSH500053X KENNEWICK GENERAL HOSPITAL KENNEWICK PUBLIC HOSPITAL DISTRICT RICHLAND WA

385 DSH500053Y KENNEWICK GENERAL HOSPITAL KENNEWICK PUBLIC HOSPITAL DISTRICT / Internal Medicine KENNEWICK WA

386 DSH500053Z KENNEWICK GENERAL HOSPITAL KGH WALK IN CARE RICHLAND WA

387 DSH500058V KADLEC REGIONAL MEDICAL CENTER Associated Physicians for Women Clinic – Satellite Richland WA

388 DSH500088K PUBLIC HOSPITAL DISTRICT NO 1 OF KING COUNTY DBA VALLEY MEDICAL CENTERValley Podiatry Clinic Kent WA

389 DSH500088Q PUBLIC HOSPITAL DISTRICT NO 1 OF KING COUNTY DBA VALLEY MEDICAL CENTERWound Care Renton WA

390 DSH510055R CABELL HUNTINGTON HOSPITAL, INC. CHH/MU Surgery Huntington WV

391 DSH520051S COLUMBIA ST MARYS HOSPITAL MILWAUKEE, INC Cathedral Square Rehab Milwaukee WI

392 DSH520136CE WHEATON FRANCISCAN INC. WISCONSIN HEART HOSPITAL / MRI-The Heart WAUWATOSA WI

393 DSH520136CF WHEATON FRANCISCAN INC. WISCONSIN HEART HOSPITAL / PACU WAUWATOSA WI

394 DSH520136CH WHEATON FRANCISCAN INC. WFH - WISCONSIN HEART HOSPITAL - MI / ICU-The Heart WAUWATOSA WI

395 DSH520136CP WHEATON FRANCISCAN INC. WISCONSIN HEART HOSPITAL / RECOVERY ROOM WAUWATOSA WI

396 DSH520136CQ WHEATON FRANCISCAN INC. WISCONSIN HEART HOSPITAL - MI / MRI WAUWATOSA WI

397 DSH520136D WHEATON FRANCISCAN, INC. MIDWEST SPINE & ORTHOPEDIC HOSPITAL/WISCONSIN HEART HOSPITAL CAMPUS WAUWATOSA WI

398 DSH520136J WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital POST OPERATIVE RECOV ROOMS WAUWATOSA WI

399 DSH520136K WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital Dialysis WAUWATOSA WI

400 DSH520136L WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital REHAB SVC WAUWATOSA WI

401 DSH520136M WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital Emergency Dept WAUWATOSA WI

402 DSH520136N WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital Day Patients WAUWATOSA WI

403 DSH520136Q WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital Cardiac Catheterization WAUWATOSA WI

404 DSH520136R WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital Stress & Echo WAUWATOSA WI

405 DSH520136S WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital Respiratory Care Services WAUWATOSA WI

406 DSH520136T WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital LAB WAUWATOSA WI

407 DSH520136U WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital ULTRASOUND WAUWATOSA WI

408 DSH520136V WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital NUCLEAR MEDICINE WAUWATOSA WI

409 DSH520136W WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital RADIOLOGY WAUWATOSA WI

410 DSH520136X WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital ICU & Telemetry WAUWATOSA WI

411 DSH520136Y WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital Surgery WAUWATOSA WI

412 DSH520136Z WHEATON FRANCISCAN, INC. Wisconsin Heart Hospital & Midwest Spine & Orthopedic Hospital Anesthesia WAUWATOSA WI

413 DSH520138T AURORA HEALTH CARE METRO, INC. Aurora Cancer Care of Aurora Health Care Metro, Inc. Waukesha WI

414 DSH520138Z AURORA HEALTH CARE METRO, INC. Aurora Cancer Care of Aurora Health Care Metro, Inc. Menomonee Falls WI

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 13

Page 10: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

415 DSH520177H FROEDTERT MEM. LUTHERAN HOSPT. Plastic Surgery Milwaukee WI

416 FP103011 STATEN ISLAND UNIVERSITY HOSPITAL BAY ST HEALTH CENTER STATEN ISLAND NY

417 FP15232 UNIVERSITY OF PITTSBURGH MEDICAL CENTER Shadyside Family Health Center Pittsburgh PA

418 FP161258 ADAGIO HEALTH GREENVILLE GREENVILLE GREENVILLE PA

419 FP262010 UPSHUR BUCKHANNON HEALTH DEPARTMENT BUCKHANNON WV

420 FP262873 TUCKER COUNTY HEALTH DEPARTMENT PARSONS WV

421 FP290062 SC DHEC Midlands Region Lexington Co Batesburg FP SC DHEC Midlands Lexington Co Batesburg Health Dept FP Batesburg SC

422 FP294012 SC DHEC Lowcountry Region Charleston Co Charleston Center FP SC DHEC Lowcountry Charleston Co Charleston Center Health Dept FP Charleston SC

423 FP294051 SC DHEC Lowcountry Region Charleston Co N Chas Health Dept FP SC DHEC Lowcountry Charleston Co N Chas Health Dept FP North Charleston SC

424 FP330603 DOH-BROWARD PAUL HUGHES HLTH CTR PHARMACY Paul Hughes Health Center POMPANO BEACH FL

425 FP402186 NEWBURG HEALTH CENTER LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS LOUISVILLE KY

426 FP402583 DIXIE HEALTH CENTER LOUISVILLE METRO DEPARTMENT OF PUBLIC HEALTH AND WELLNESS LOUISVILLE KY

427 FP641190 PLANNED PARENTHOOD OF KANSAS AND MID MISSOURI NORTH KANSAS CITY Gladstone MO

428 FP664412 GEARY COUNTY HEALTH DEPARTMENT JUNCTION CITY KS

429 FP669674 SMITH COUNTY HEALTH DEPARTMENT SMITH CENTER KS

430 FP752316 Dallas County Hospital District dba Parkland Health & Hospital System VICKERY WOMEN'S HEALTH CENTER DALLAS TX

431 FP77001 LEGACY COMMUNITY HEALTH SERVICES INC LEGACY SOUTHWEST CLINIC HOUSTON TX

432 FP77006 Legacy Community Health Services, Inc. Legacy Montrose Clinic Houston TX

433 FP770201 LEGACY COMMUNITY HEALTH SERVICES INC HOUSTON TX

434 FP77023 Legacy Community Health Services, Inc. Legacy Santa Clara Clinic Houston TX

435 FP77074 Legacy Community Health Services, Inc. Legacy Baker Ripley Houston TX

436 FP77081 Legacy Community Health Services, Inc. Legacy Mapleridge Houston TX

437 FP770811 Legacy Community Health Services, Inc. Legacy Mapleridge Clinic (1st Floor) Houston TX

438 FP77702 Legacy Community Health Services, Inc. Legacy North Street Clinic Beaumont TX

439 FP777021 Legacy Community Health Services, Inc. Legacy Central Beaumont Beaumont TX

440 FP77705 Legacy Community Health Services, Inc. Legacy South Park Beaumont TX

441 FP78064 ATASCOSA HEALTH CENTER, INC. PLEASANTON TX

442 FP78114 ATASCOSA HEALTH CENTER, INC. WILSON COMMUNITY HEALTH CENTER FLORESVILLE TX

443 FP78118 ATASCOSA HEALTH CENTER, INC. KARNES COMMUNITY HEALTH CENTER KARNES CITY TX

444 FP79851 Project Vida Health Center Sierra Blanca Clinic Sierra Blanca TX

445 FP87508 La Familia Medical Center La Familia Medical Center Dental Clinic Santa Fe NM

446 FP890498 NEVADA DEPT OF HHS,DIVISION OF PUBLIC & BEHAVIORAL HEALTH TONOPAH CLINIC TONOPAH NV

447 FP894031 NEVADA DEPT OF HHS,DIVISION OF PUBLIC & BEHAVIORAL HEALTH DAYTON CLINIC DAYTON NV

448 FP894067 NEVADA DEPT OF HHS,DIVISION OF PUBLIC & BEHAVIORAL HEALTH FALLON CLINIC FALLON NV

449 FP894082 NEVADA DEPT OF HHS,DIVISION OF PUBLIC & BEHAVIORAL HEALTH FERNLEY CLINIC FERNLEY NV

450 FP894291 NEVADA DEPT OF HHS,DIVISION OF PUBLIC & BEHAVIORAL HEALTH SILVER SPRINGS CLINIC SILVER SPRINGS NV

451 FP894458 NEVADA DEPT OF HHS,DIVISION OF PUBLIC & BEHAVIORAL HEALTH WINNEMUCCA CLINIC WINNEMUCCA NV

452 FP894475 NEVADA DEPT OF HHS,DIVISION OF PUBLIC & BEHAVIORAL HEALTH YERINGTON CLINIC YERINGTON NV

453 FP91950 PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST PURCHASING DEPARTMENT NATIONAL CITY CA

454 FP921143 San Ysidro Health Center, Inc. Comprehensive Health Center - Euclid San Diego CA

455 FP935342 L.A. COUNTY DEPARTMENT OF HEALTH SERVICES ANTELOPE VALLEY HEALTH CENTER LANCASTER CA

456 FP93543 Los Angeles County, Department of Health Services Littlerock Community Clinic Littlerock CA

457 FP935501 Los Angeles County, Department of Health Services South Valley Health Center Palmdale CA

458 FQHCLA130 HOWARD BROWN HEALTH CENTER CHICAGO IL

459 FQHCLA130A HOWARD BROWN HEALTH CENTER Broadway Youth Center at Wellington Avenue United Church of Christ Chicago IL

460 FQHCLA130B HOWARD BROWN HEALTH CENTER Aris Health CHICAGO IL

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 13

Page 11: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

461 FQHCLA150B UNITED COMMUNITY SERVICES INC BHS Site - Satellite (New London) New London CT

462 PED053305-03 LUCILE PACKARD CHILDREN'S HOSPITAL CASTRO COMMONS MOUNTAIN VIEW CA

463 PED093300-04 Children's Hospital Goldberg- Good Hope Road Washington DC

464 PED093300-05 Children's Hospital Goldberg- MLK Washington DC

465 PED193300-01 Children's Hospital Metairie Clinic METAIRIE LA

466 PED193300-04 Children's Hospital LAKESIDE CHILDREN'S CLINIC METAIRIE LA

467 PED193300-06 Children's Hospital METAIRIE PEDIATRICS METAIRIE LA

468 PED193300-07 Children's Hospital NAPOLEON PEDIATRICS NEW ORLEANS LA

469 PED193300-09 Children's Hospital KIDS FIRST TIGER CARE NEW ORLEANS LA

470 PED193300-10 Children's Hospital PHYSICIANS OF RIVER RIDGE RIVER RIDGE LA

471 PED193300-11 Children's Hospital NORTHLAKE PEDIATRICS COVINGTON LA

472 PED193300-12 Children's Hospital PELICAN PEDIATRIC PHYSICIANS METAIRIE LA

473 PED193300-13 Children's Hospital PELICAN PEDIATRIC PHYSICIANS LAPLACE LA

474 PED193300-20 Children's Hospital Kids First West Bank Marrero LA

475 PED363302-01 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS CHAGRIN HIGHLANDS HEALTH CENTER ORANGE VILLAGE OH

476 PED363302-02 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS WESTLAKE HEALTH CENTER WESTLAKE OH

477 PED363302-03 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS MENTOR HEALTH CENTER MENTOR OH

478 PED363302-04 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS FOLEY HEALTH CENTER CLEVELAND OH

479 PED363302-05 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL PARK EAST BEACHWOOD OH

480 PED363302-06 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS OTIS MOSS JR. HEALTH CENTER CLEVELAND OH

481 PED363302-07 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS LANDERBROOK HEALTH CENTER MAYFIELD HEIGHTS OH

482 PED363302-08 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS WILLOUGHBY HEALTH CENTER WILLOUGHBY OH

483 PED363302-09 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS BAINBRIDGE HEALTH CENTER BAINBRIDGE OH

484 PED363302-10 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS CONCORD HEALTH CENTER CONCORD TWP OH

485 PED363302-11 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS TWINSBURG HEALTH CENTER TWINSBURG OH

486 PED363302-12 UNIVERSITY HOSPITALS RAINBOW AND BABIES CHILDREN'S HOSPITAL UNIVERSITY HOSPITALS CHESTERLAND HEALTH CENTER CHESTERLAND OH

487 PED523300-02 CHILDREN'S HOSPITAL OF WISCONSIN, INC. CHILDREN'S HOSPITAL OF WISCONSIN SPECIALTY CLINICS (AKA:SPECIALTY CLINICS AT SINAI-SAMARITAN-DTHC, CHILD PROTECTION, DENTAL CTR)MILWAUKEE WI

488 PED523300-05 CHILDRENS HOSPITAL OF WISCONSIN Children's Hospital of Wisconsin Clinics - Foxpoint / Outpatient hospital specialty service Foxpoint WI

489 PED523300-36 CHILDRENS HOSPITAL OF WISCONSIN CHILDRENS HOSPITAL OF WISCONSIN INC / Fox Point Clinic-Dermatology FOX POINT WI

490 PED523300-39 CHILDRENS HOSPITAL OF WISCONSIN CHILDRENS HOSPITAL OF WISCONSIN INC / Fox Point Clinic-Pulmonary FOX POINT WI

491 PED523300-40 CHILDRENS HOSPITAL OF WISCONSIN CHILDRENS HOSPITAL OF WISCONSIN INC / Fox Point Clinic-Speech FOX POINT WI

492 PED523300-42 CHILDRENS HOSPITAL OF WISCONSIN CHILDRENS HOSPITAL OF WISCONSIN INC / Fox Point Clinic-Diagnostic Cardiology (CC8940) FOX POINT WI

493 RRC070005-00 WATERBURY HOSPITAL WATERBURY CT

494 RRC070005-01 WATERBURY HOSPITAL PSYCH CLINICS WATERBURY CT

495 RRC070005-04 WATERBURY HOSPITAL Cardiac Diagnostic Center - Electrocardiology Waterbury CT

496 RRC150051-00 Indiana University Health Bloomington Inc BLOOMINGTON IN

497 RRC150051-01 Indiana University Health Bloomington Inc Advanced Heart Care Center Bloomington IN

498 RRC150051-02 Indiana University Health Bloomington Inc BEHAVIORAL HEALTH Bloomington IN

499 RRC150051-03 Indiana University Health Bloomington Inc Cancer Radiation Center - Bloomington Bloomington IN

500 RRC150051-04 Indiana University Health Bloomington Inc Cancer Radiation Center - Bedford Bedford IN

501 RRC150051-05 Indiana University Health Bloomington Inc Diabetes Center Bloomington IN

502 RRC150051-06 Indiana University Health Bloomington Inc PAIN CENTER Bloomington IN

503 RRC150051-07 Indiana University Health Bloomington Inc Rehabilitation & Sports Medicine - Spencer Spencer IN

504 RRC150051-08 Indiana University Health Bloomington Inc Rehabilitation & Sports Medicine - South Woodcrest Bloomington IN

505 RRC150051-09 Indiana University Health Bloomington Inc Rehabilitation & Sports Medicine - South Highland Bloomington IN

506 RRC150051-10 Indiana University Health Bloomington Inc Rehabilitation & Sports Medicine - West Cota Bloomington IN

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 13

Page 12: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

507 RRC150051-11 Indiana University Health Bloomington Inc Wound Center Bloomington IN

508 RRC150051-12 Indiana University Health Bloomington Inc Pediatric Outpatient Center Bloomington IN

509 RRC180049-00 Baptist Health Richmond Richmond KY

510 RRC180049-03 BAPTIST HEALTH RICHMOND BAPTIST HEALTH RICHMOND INC / Outpatient Services RICHMOND KY

511 RRC230022-07 COMMUNITY HEALTH CENTER BRANCH CTY Orthopedic Clinic Coldwater MI

512 RRC330011-06 OUR LADY OF LOURDES MEMORIAL HOSP LOURDES FAMILY PRACTICE WHITNEY POINT NY

513 RRC330011-12 OUR LADY OF LOURDES MEMORIAL HOSP LOURDES LAB SERVICES BINGHAMTON NY

514 RRC330094-36 COLUMBIA MEMORIAL HOSPITAL Valatie Campus / Columbia Dermatology Valatie NY

515 RRC340050-00 SOUTHEASTERN REGIONAL MEDICAL CENTER LUMBERTON NC

516 RRC340050-02 S.E. REGL MEDICAL CENTER DBA Gibson Cancer Center / Oncology-Radiation Clinics Lumberton NC

517 RRC360147-45 MARIETTA MEMORIAL HOSPITAL Department of General and Bariatric Surgery Marietta OH

518 RRC500002-00 Providence Health & Services-Washington Providence St. Mary Medical Center WALLA WALLA WA

519 RW422151 INOVA HEALTH CARE SERVICES DBA INOVA JUNIPER PROGRAM Fairfax VA

520 RWII22151 INOVA HEALTH CARE SERVICES DBA INOVA JUNIPER PROGRAM Fairfax VA

521 SCH040067-00 Magnolia Regional Medical Center Magnolia AR

522 SCH050434-00 Colusa Regional Medical Center Colusa CA

523 SCH060006-00 Montrose Memorial Hospital Montrose CO

524 SCH160064-18 MERCY MEDICAL CENTER - NORTH IOWA Mercy Family Clinic - Charles City Charles City IA

525 SCH160064-20 MERCY MEDICAL CENTER - NORTH IOWA Mercy Advanced Wound Center and Continence Clinic MASON CITY IA

526 SCH200037-00 Franklin Memorial Hospital Farmington ME

527 SCH200037-01 Franklin Memorial Hospital Franklin Health Farmington Family Practice Farmington ME

528 SCH200037-02 Franklin Memorial Hospital Franklin Health Pediatrics Farmington ME

529 SCH200037-03 Franklin Memorial Hospital Franklin Health Womens Care Farmington ME

530 SCH200037-04 Franklin Memorial Hospital Franklin Health Surgery Farmington ME

531 SCH200037-05 Franklin Memorial Hospital Franklin Health Dermatology Livermore Falls ME

532 SCH200037-06 Franklin Memorial Hospital Franklin Health Orthopaedics Farmington ME

533 SCH200037-07 Franklin Memorial Hospital Franklin Health Internal Medicine Farmington ME

534 SCH200037-08 Franklin Memorial Hospital Franklin Health Livermore Falls Family Practice Livermore Falls ME

535 SCH200037-09 Franklin Memorial Hospital Oncology Clinic Farmington ME

536 SCH200037-10 Franklin Memorial Hospital Outpatient Clinic Farmington ME

537 SCH200037-11 Franklin Memorial Hospital Day Surgery Unit Farmington ME

538 SCH200037-12 FRANKLIN MEMORIAL HOSPITAL Franklin Health Behavioral Services Farmington ME

539 SCH210017-00 GARRETT COUNTY MEMORIAL HOSPITAL OAKLAND MD

540 SCH230055-00 Dickinson County Healthcare System Iron Mountain MI

541 SCH230055-01 Dickinson County Healthcare System Nordic Medical Center Felch MI

542 SCH230055-02 Dickinson County Healthcare System Wausaukee Medical Center Wausaukee WI

543 SCH230055-03 Dickinson County Healthcare System Florence Medical Center Florence WI

544 SCH230055-04 Dickinson County Healthcare System Dickinson Family Practice Center - Kingsford Kingsford MI

545 SCH230055-05 Dickinson County Healthcare System Dickinson Pediatric Clinic Iron Mountain MI

546 SCH230055-06 Dickinson County Healthcare System Dickinson Family & Geriatric Clinic Norway MI

547 SCH230055-07 Dickinson County Healthcare System Dickinson Cardiology Services Iron Mountain MI

548 SCH230055-08 Dickinson County Healthcare System Barry D. Johnson, MD - Neurology Iron Mounatin MI

549 SCH230055-09 Dickinson County Healthcare System Dickinson Dermatology Clinic Iron Mountain MI

550 SCH230055-10 Dickinson County Healthcare System Dickinson Podiatry Services Iron Mountain MI

551 SCH230055-11 Dickinson County Healthcare System The Center for Wound Healing & Hyperbaric Medicine Iron Mountain MI

552 SCH230055-12 Dickinson County Healthcare System Upper Peninsula Sleep Disorder Center Iron Mountain 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 12 of 13

Page 13: 340B Program Terminations List - Terminations Effective 7 ... · 7 cah051302-00 southern inyo hospital lone pine ca 8 cah051305-00 mayers memorial hospital fall river mills ca ...

340B Program Terminations List - Terminations Effective 7/2/2016 through 10/1/2016 (581 total)

Row

Num

340B ID Entity Name Entity Sub-Division Name City

Stat

e

553 SCH230055-13 Dickinson County Healthcare System NFPC Dickinson Family Practice Center-Norway Norway MI

554 SCH230055-14 Dickinson County Healthcare System DIMC Dickinson Internal Medicine/Nephrology Clinic Iron Mountain MI

555 SCH230055-15 Dickinson County Healthcare System DUC Dickinson Urology Clinic Iron Mountain MI

556 SCH230055-16 Dickinson County Healthcare System DENTC Dickinson Ear Nose Throat Clinic Iron Mountain MI

557 SCH230055-17 DICKINSON COUNTY HEALTHCARE SYSTEM DICKINSON PULMONOLOGY CLINIC IRON MOUNTAIN MI

558 SCH230055-18 DICKINSON COUNTY HEALTHCARE SYSTEM DICKINSON HEMATOLOGY / ONCOLOGY CLI IRON MOUNTAIN MI

559 SCH260094-12 COX MEDICAL CENTER BRANSON DIABETES AND ENDO BRANSON MO

560 SCH260094-16 COX MEDICAL CENTER BRANSON ORTH-NEURO RADIOLOGY BRANSON MO

561 SCH360125-24 Ashtabula County Medical Center The Ashtabula Clinic - North Kingsville Office North Kingsville OH

562 SCH370034-00 MCALESTER REGIONAL HEALTH CENTER MCALESTER OK

563 SCH370065-00 CRAIG GENERAL HOSPITAL VINITA OK

564 SCH370065-01 CRAIG GENERAL HOSPITAL Grand Lake Medical Park Monkey Island Afton OK

565 SCH370065-02 CRAIG GENERAL HOSPITAL GRAND LAKE MEDICAL PARK - LANGLEY VINITA OK

566 SCH370065-03 CRAIG GENERAL HOSPITAL RURAL HEALTH CLINIC WELCH OK

567 SCH450052-00 Goodall-Witcher Hospital Authority DBA Goodall-Witcher Hospital Clifton TX

568 SCH450052-01 GOODALL-WITCHER HOSPITAL AUTHORITY LAKE WHITNEY MEDICAL CLINIC WHITNEY TX

569 SCH450073-00 DM Cogdell Memorial Hospital Snyder TX

570 SCH450073-01 DM Cogdell Memorial Hospital DM Cogdell Day Surgery Snyder TX

571 SCH450073-02 DM Cogdell Memorial Hospital DM Cogdell Family Clinic Snyder TX

572 SCH490013-00 Halifax Regional Hospital, Inc. South Boston VA

573 SCH510006-00 United Hospital Center, Inc. Bridgeport WV

574 SCH510006-01 UNITED HOSPITAL CENTER UHC Wound Care Bridgeport WV

575 SCH510006-02 UNITED HOSPITAL CENTER UHC Family Medicine Center Bridgeport WV

576 STD03840 Feminist Health Center of Portsmouth, Inc. d/b/a Joan G. Lovering Health Center Greenland NH

577 STD29401 SC DHEC Lowcountry Region Charleston Co Charleston Center STD SC DHEC Lowcountry Charleston Co Charleston Center Health Dept STD Charleston SC

578 STD294052 SC DHEC Lowcountry Region Charleston Co N Chas Health Dept STD SC DHEC Lowcountry Charleston Co N Chas Health Dept STD North Charleston SC

579 STD3220702 PLANNED PARENTHOOD OF SOUTH FLORIDA AND THE TREASURE COAST JACKSONVILLE FL

580 TB292059 SC DHEC Lowcountry Region Charleston Co Charleston Center TB SC DHEC Lowcountry Charleston Co Charleston Center Health Dept TB Charleston SC

581 TB294052 SC DHEC Lowcountry Region Charleston Co N Chas Health Dept TB SC DHEC Lowcountry Charleston Co N Chas Health Dept TB North Charleston 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 13 of 13


Recommended