HRSA Office of Pharmacy Affairs
340B drug discount program
Hospitals and clinics in the 340B program and the outside pharmacies they contract with.
Published by HRSA Office of Pharmacy Affairs
Finest detail facility
Tables 4
Covered entities
Sample of 25 rows out of about 109,370
· 55 columns
| id | snapshot_date | id_340b | ce_id | entity_type | name | sub_name | participating | participating_start_date | termination_date | termination_reason | parent_id_340b | parent_ce_id | is_parent | site_id | ccn | rural | grant_number | nofo_number | assistance_received_from | assistance_received_to | certified_decertified_date | edit_date | comments | street_org | street_line1 | street_line2 | street_line3 | street_city | street_state | street_zip | street_zip4 | billing_org | billing_line1 | billing_line2 | billing_line3 | billing_city | billing_state | billing_zip | billing_zip4 | state | county_fips_from_zip | auth_official_name | auth_official_title | auth_official_phone | auth_official_phone_ext | primary_contact_name | primary_contact_title | primary_contact_phone | primary_contact_phone_ext | n_contract_pharmacies | n_active_contract_pharmacies | shipping_addresses_json | medicaid_numbers_json | npi_numbers_json |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2026-10-09 | BL030740 | 7201 | BL | STONE MOUNTAIN HEALTH SERVICES | ST CHARLES HEALTH COUNCIL | TRUE | 1999-10-01 | No data | No data | No data | No data | 0 | No data | No data | No data | H37RH00048 | No data | No data | No data | 2026-02-19 09:40:05 | 2026-02-19 09:40:05 | 6/3/2008 UPDATED BILLING | No data | 213 Monarch Road | No data | No data | ST CHARLES | VA | 24282 | No data | STONE MOUNTAIN HEALTH SERVICES | 276 Fieldstone Drive | No data | No data | Jonesville | VA | 24263 | No data | VA | 51105 | MALCOLM PERDUE | CEO | 2765465310 | No data | Saundra Jones | COO | 2765465310 | 3102 | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "213 Monarch Road", "city": "ST CHARLES", "state": "VA", "zip": "24282"}] | [{"medicaidNumber": "64036072", "state": "KY"}, {"medicaidNumber": "Q047757", "state": "TN"}] | [{"npiNumber": "1215284153", "state": "VA"}, {"npiNumber": "1740252501", "state": "KY"}, {"npiNumber": "1740252501", "state": "TN"}] |
| 2 | 2026-10-09 | BL03074C | 51875 | BL | Stone Mountain Health Services | St. Charles Health Council, Inc, Vansant Respiratory Care Center | TRUE | 2017-01-01 | No data | No data | No data | No data | 0 | No data | No data | No data | H37RH00048 | No data | No data | No data | 2026-02-19 09:42:31 | 2026-02-19 09:42:31 | No data | No data | 1060 Anchorage Circle | No data | No data | Vansant | VA | 24656 | No data | St. Charles Health Council, Inc., d/b/a Stone Mountain Health Services | 276 Fieldstone Drive | No data | No data | Jonesville | VA | 24263 | No data | VA | 51027 | MALCOLM PERDUE | CEO | 2765465310 | No data | Saundra Jones | COO | 2765465310 | 3102 | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "1060 Anchorage Circle", "city": "Vansant", "state": "VA", "zip": "24656"}] | [{"medicaidNumber": "64036072", "state": "KY"}, {"medicaidNumber": "Q047757", "state": "TN"}] | [{"npiNumber": "1053668996", "state": "VA"}, {"npiNumber": "1740252501", "state": "KY"}, {"npiNumber": "1740252501", "state": "TN"}] |
| 3 | 2026-10-09 | BL031700 | 975 | BL | CENTERVILLE CLINICS INC | J. A. YABLONSKI MEMORIAL CLINIC | TRUE | 1995-04-01 | No data | No data | No data | No data | 0 | No data | No data | No data | H37RH00047 | No data | No data | No data | 2026-02-27 13:43:42 | 2026-02-27 13:43:42 | No data | No data | 1070 OLD NATIONAL PIKE RD. | No data | No data | FREDERICKTOWN | PA | 15333 | No data | No data | 1070 OLD NATIONAL PIKE RD. | No data | No data | FREDERICKTOWN | PA | 15333 | No data | PA | 42125 | Barry R Niccolai | Executive Director | 7246326801 | 1100 | Brenda Workman | Administrative Assistant | 7246326801 | 1100 | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "1070 OLD NATIONAL PIKE RD.", "city": "FREDERICKTOWN", "state": "PA", "zip": "15333"}] | [] | [] |
| 4 | 2026-10-09 | BL040600 | 12236 | BL | MOUNTAIN COMPREHENSIVE HEALTH CORP. | WHITESBURG MEDICAL CLINIC | FALSE | 2004-10-01 | 2026-01-01 | Loss of qualifying grant/support | No data | No data | 0 | No data | No data | No data | H37RH00050 | No data | No data | No data | 2025-02-24 08:55:53 | 2026-01-01 00:01:10 | No data | No data | 226 MEDICAL PLAZA LANE | No data | No data | WHITESBURG | KY | 41858 | No data | Mountain Comprehensive Health Corporation | P.O. Box 40 | No data | No data | Whitesburg | KY | 41858 | No data | KY | 21133 | L.M. Caudill | CEO | 6066334823 | No data | Trevor Mullins | Director of Pharmacy | 6066334871 | 2377 | 8 | 0 | [{"is340BStreetAddress": true, "addressLine1": "226 MEDICAL PLAZA LANE", "city": "WHITESBURG", "state": "KY", "zip": "41858"}] | [{"medicaidNumber": "65-933871", "state": "KY"}, {"medicaidNumber": "7100937030", "state": "KY"}, {"medicaidNumber": "7100958890", "state": "KY"}, {"medicaidNumber": "7100958900", "state": "KY"}, {"medicaidNumber": "7100958940", "state": "KY"}, {"medicaidNumber": "7100986030", "state": "KY"}, {"medicaidNumber": "7101016830", "state": "KY"}, {"medicaidNumber": "7101016840", "state": "KY"}] | [{"npiNumber": "1033166350", "state": "KY"}, {"npiNumber": "1902980865", "state": "KY"}, {"npiNumber": "1881370518", "state": "KY"}, {"npiNumber": "1457129694", "state": "KY"}, {"npiNumber": "1366210593", "state": "KY"}, {"npiNumber": "1467220699", "state": "KY"}, {"npiNumber": "1477982650", "state": "KY"}, {"npiNumber": "1558105619", "state": "KY"}, {"npiNumber": "1225874043", "state": "KY"}] |
| 5 | 2026-10-09 | BL04060B | 12111 | BL | MOUNTAIN COMPREHENSIVE HEALTH CORP. | LEATHERWOOD/BLACKEY MEDICAL CLINIC | FALSE | 2004-10-01 | 2019-01-01 | Business decision by the Covered Entity | No data | No data | 0 | No data | No data | No data | H37RH00050 | No data | No data | No data | 2018-02-07 15:26:47 | 2019-01-01 00:05:05 | No data | No data | 464 KENTUCKY HWY 699 | No data | No data | CORNETTSVILLE | KY | 41731 | No data | MOUNTAIN COMPREHENSIVE HEALTH CORP. | PO BOX 40 | 226 Medical Plaza Lane | No data | WHITESBURG | KY | 41858 | No data | KY | 21193 | L.M. Caudill | CEO | 6066334823 | No data | Joshua Ricahrdson | 340B Coordinator | 6066334871 | No data | 1 | 0 | [{"is340BStreetAddress": true, "addressLine1": "464 KENTUCKY HWY 699", "city": "CORNETTSVILLE", "state": "KY", "zip": "41731"}, {"is340BStreetAddress": false, "organization": "Mountain Comprehensive Health Corporation", "addressLine1": "226 Medical Plaza Lane", "city": "Whitesburg", "state": "KY", "zip": "41858"}] | [{"medicaidNumber": "65-933871", "state": "KY"}] | [{"npiNumber": "1033166350"}] |
| 6 | 2026-10-09 | BL04060D | 12434 | BL | MOUNTAIN COMPREHENSIVE HEALTH CORP. | OWSLEY COUNTY MEDICAL CLINIC | FALSE | 2004-10-01 | 2019-01-01 | Business decision by the Covered Entity | No data | No data | 0 | No data | No data | No data | H37RH00050 | No data | No data | No data | 2018-02-07 15:34:50 | 2019-01-01 00:05:05 | No data | No data | 826 KY HWY. 11 North | No data | No data | BOONEVILLE | KY | 41314 | No data | MOUNTAIN COMPREHENSIVE HEALTH CORP. | 226 Medical Plaza Lane | P.O. Box 40 | No data | WHITESBURG | KY | 41858 | No data | KY | 21189 | L.M. Caudill | CEO | 6066334823 | No data | Joshua Ricahrdson | 340B Coordinator | 6066334871 | No data | 1 | 0 | [{"is340BStreetAddress": true, "addressLine1": "826 KY HWY. 11 North", "city": "BOONEVILLE", "state": "KY", "zip": "41314"}, {"is340BStreetAddress": false, "organization": "Mountain Comprehensive Health Corporation", "addressLine1": "226 Medical Plaza Lane", "city": "Whitesburg", "state": "KY", "zip": "41858"}] | [{"medicaidNumber": "65-933871", "state": "KY"}] | [{"npiNumber": "1033166350"}] |
| 7 | 2026-10-09 | BL04060H | 12395 | BL | MOUNTAIN COMPREHENSIVE HEALTH CORP. | BUCKHORN MEDICAL CLINIC | FALSE | 2004-10-01 | 2019-01-01 | Business decision by the Covered Entity | No data | No data | 0 | No data | No data | No data | H37RH00050 | No data | No data | No data | 2018-02-07 15:28:33 | 2019-01-01 00:05:05 | No data | No data | 72 BUCKHORN CLINIC RD | No data | No data | BUCKHORN | KY | 41721 | No data | MOUNTAIN COMPREHENSIVE HEALTH CORP. | 226 Medical Plaza Lane | P.O. Box 40 | No data | WHITESBURG | KY | 41858 | No data | KY | 21193 | L.M. Caudill | CEO | 6066334823 | No data | Joshua Ricahrdson | 340B Coordinator | 6066334871 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "72 BUCKHORN CLINIC RD", "city": "BUCKHORN", "state": "KY", "zip": "41721"}, {"is340BStreetAddress": false, "organization": "Mountain Comprehensive Health Corporation", "addressLine1": "226 Medical Plaza Lane", "city": "Whitesburg", "state": "KY", "zip": "41858"}] | [{"medicaidNumber": "65-933871", "state": "KY"}] | [{"npiNumber": "1033166350"}] |
| 8 | 2026-10-09 | BL04060J | 12196 | BL | MOUNTAIN COMPREHENSIVE HEALTH CORP. | HARLAN MEDICAL CENTER | FALSE | 2004-10-01 | 2019-04-01 | Business decision by the Covered Entity | No data | No data | 0 | No data | No data | No data | H37RH00050 | No data | No data | No data | 2018-02-08 08:22:32 | 2019-04-01 00:05:09 | No data | No data | 132 VILLAGE CENTER Rd. | No data | No data | HARLAN | KY | 40831 | No data | MOUNTAIN COMPREHENSIVE HEALTH CORP. | 226 Medical Plaza Lane | P.O. Box 40 | No data | WHITESBURG | KY | 41858 | No data | KY | 21095 | L.M. Caudill | CEO | 6066334823 | No data | Joshua Ricahrdson | 340B Coordinator | 6066334871 | No data | 1 | 0 | [{"is340BStreetAddress": true, "addressLine1": "132 VILLAGE CENTER Rd.", "city": "HARLAN", "state": "KY", "zip": "40831"}, {"is340BStreetAddress": false, "organization": "Mountain Comprehensive Health Corporation", "addressLine1": "226 Medical Plaza Lane", "city": "Whitesburg", "state": "KY", "zip": "41858"}] | [{"medicaidNumber": "31-000169", "state": "KY"}, {"medicaidNumber": "65-933871", "state": "KY"}] | [{"npiNumber": "1033166350"}, {"npiNumber": "1316991979"}, {"npiNumber": "1902980865"}] |
| 9 | 2026-10-09 | BL0517110 | 32650 | BL | East Ohio Regional Hospital | Respiratory & Occupational Lung Disease Clinic | FALSE | 2014-01-01 | 2020-04-01 | Failure to recertify | No data | No data | 0 | No data | No data | No data | H37RH00054 | No data | No data | No data | 2019-01-31 08:13:29 | 2020-04-01 00:05:59 | No data | No data | 90 N. 4th Street | No data | No data | Martins Ferry | OH | 43935 | No data | No data | 90 N. 4th Street | No data | No data | Martins Ferry | OH | 43935 | No data | OH | 39013 | Becky Maruca | Program Director | 7406336680 | No data | Lynn Swider | Cardiopulmonary Director | 7406334292 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "90 N. 4th Street", "city": "Martins Ferry", "state": "OH", "zip": "43935"}] | [{"medicaidNumber": "5569406", "state": "OH"}] | [{"npiNumber": "1396707907"}] |
| 10 | 2026-10-09 | BL80206X | 9733 | BL | NATIONAL JEWISH MEDICAL & RESEARCH CTR | No data | FALSE | 2003-01-01 | 2020-04-01 | Business decision by the Covered Entity | No data | No data | 0 | No data | No data | No data | H37RH00066 | No data | No data | No data | 2019-02-14 12:21:09 | 2020-04-01 00:05:59 | No data | No data | 1400 JACKSON STREET | No data | No data | DENVER | CO | 80206 | No data | No data | 1400 JACKSON STREET | No data | No data | DENVER | CO | 80206 | No data | CO | 08031 | CHRISTINE FORKNER | CFO | 3033981004 | No data | RENEE L SPRIK | PHARMACY DIRECTOR | 3033981585 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "1400 JACKSON STREET", "city": "DENVER", "state": "CO", "zip": "80206"}] | [{"medicaidNumber": "05000112", "state": "CO"}] | [{"npiNumber": "1326015777"}] |
| 11 | 2026-10-09 | CAH011300-00 | 25519 | CAH | WASHINGTON COUNTY HOSPITAL | Washington County Hospital | TRUE | 2020-04-01 | No data | No data | No data | No data | 1 | No data | 011300 | 1 | No data | No data | No data | No data | 2026-08-20 15:20:50 | 2026-08-20 15:20:50 | Participating start date 10/1/2012; Termination date 10/1/2019; Reinstated 4/1/2020. | No data | 14600 ST. STEPHENS AVENUE | No data | No data | CHATOM | AL | 36518 | No data | Washington County Hospital | P.O. Box 1299 | No data | No data | Chatom | AL | 36518 | 1299 | AL | 01129 | Chesla A Sollie | Chief Financial Officer | 2518472223 | 230 | Charlie Chestang | 340B Program Coordinator | 2518474282 | No data | 1 | 1 | [{"is340BStreetAddress": true, "addressLine1": "14600 ST. STEPHENS AVENUE", "city": "CHATOM", "state": "AL", "zip": "36518"}] | [] | [] |
| 12 | 2026-10-09 | CAH011300-01 | 119611 | CAH | WASHINGTON COUNTY HOSPITAL | WASHINGTON COUNTY HEALTHCARE AUTHOR - Rural Health Clinic | TRUE | 2026-10-01 | No data | No data | CAH011300-00 | 25519 | 0 | No data | 011300 | 1 | No data | No data | No data | No data | No data | 2026-10-01 00:01:02 | No data | No data | 73 LONG ST | No data | No data | MILLRY | AL | 36558 | 4564 | Millry Family Care | PO Box 465 | No data | No data | Millry | AL | 36558 | No data | AL | 01129 | Chesla A Sollie | Chief Financial Officer | 2518472223 | 230 | Charlie Chestang | 340B Program Coordinator | 2518474282 | No data | 1 | 1 | [{"is340BStreetAddress": true, "addressLine1": "73 LONG ST", "city": "MILLRY", "state": "AL", "zip": "36558", "zip4": "4564"}] | [] | [] |
| 13 | 2026-10-09 | CAH011302-00 | 20457 | CAH | HH Health System - Shoals LLC dba Red Bay Hospital | DBA/RED BAY HOSPITAL | TRUE | 2010-09-09 | No data | No data | No data | No data | 1 | No data | 011302 | 1 | No data | No data | No data | No data | 2026-08-27 11:16:19 | 2026-08-27 11:16:19 | No data | No data | 211 HOSPITAL ROAD | No data | No data | RED BAY | AL | 35582 | 0490 | No data | 211 HOSPITAL ROAD | No data | No data | RED BAY | AL | 35582 | 0490 | AL | 01059 | Penny Westmoreland | CFO | 2563864550 | No data | Jacqueline Sharp | IT Pharmacist | 2563864468 | No data | 3 | 0 | [{"is340BStreetAddress": true, "addressLine1": "211 HOSPITAL ROAD", "city": "RED BAY", "state": "AL", "zip": "35582", "zip4": "0490"}] | [{"medicaidNumber": "HOS0115H", "state": "AL"}] | [{"npiNumber": "1073601043", "state": "AL"}] |
| 14 | 2026-10-09 | CAH011302-01 | 42423 | CAH | HH Health System - Shoals LLC dba Red Bay Hospital | MED EXPRESS RED BAY | FALSE | 2015-07-01 | 2021-04-01 | Business decision by the Covered Entity | CAH011302-00 | 20457 | 0 | No data | 011302 | 1 | No data | No data | No data | No data | 2020-08-31 14:37:14 | 2021-04-01 00:01:05 | No data | No data | 221 HOSPITAL ROAD | No data | No data | RED BAY | AL | 35582 | No data | No data | 221 HOSPITAL ROAD | No data | No data | RED BAY | AL | 35582 | No data | AL | 01059 | Penny Westmoreland | CFO | 2563864550 | No data | Jacqueline Sharp | IT Pharmacist | 2563864468 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "221 HOSPITAL ROAD", "city": "RED BAY", "state": "AL", "zip": "35582"}] | [{"medicaidNumber": "00011302", "state": "AL"}, {"medicaidNumber": "00020408", "state": "MS"}] | [{"npiNumber": "1073601043", "state": "AL"}, {"npiNumber": "1073601043", "state": "MS"}] |
| 15 | 2026-10-09 | CAH011302-02 | 42426 | CAH | COLBERT COUNTY-NORTHWEST ALABAMA HEALTHCARE AUTHORITY | MED EXPRESS-LITTLEVILLE | FALSE | 2015-07-01 | 2018-10-01 | Site closure | CAH011302-00 | 20457 | 0 | No data | 011302 | 1 | No data | No data | No data | No data | 2017-11-08 15:08:13 | 2018-10-01 00:05:07 | No data | No data | 1369 WEST T ALLEN HIGHWAY | No data | No data | RUSSELLVILLE | AL | 35654 | No data | No data | 1369 WEST T ALLEN HIGHWAY | No data | No data | RUSSELLVILLE | AL | 35654 | No data | AL | 01059 | Penny Westmoreland | CFO | 2563864550 | No data | Jo R Spangler | IT Pharmacist | 2563864468 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "1369 WEST T ALLEN HIGHWAY", "city": "RUSSELLVILLE", "state": "AL", "zip": "35654"}] | [] | [] |
| 16 | 2026-10-09 | CAH011304-00 | 29606 | CAH | Choctaw General Hospital | No data | TRUE | 2013-07-01 | No data | No data | No data | No data | 1 | No data | 011304 | 1 | No data | No data | No data | No data | 2026-08-18 16:42:24 | 2026-08-18 16:42:24 | No data | No data | 401 Vanity Fair Lane | No data | No data | Butler | AL | 36904 | No data | Ochsner Clinic Foundation - Accounts Payable | 1201 Dickory Ave | No data | No data | NEW ORLEANS | LA | 70123 | No data | AL | 01023 | David Butler | Chief Financial Officer | 6017033082 | No data | Anita Ward | Director of Pharmacy | 2054599147 | No data | 4 | 0 | [{"is340BStreetAddress": true, "addressLine1": "401 Vanity Fair Lane", "city": "Butler", "state": "AL", "zip": "36904"}] | [{"medicaidNumber": "137229", "state": "AL"}, {"medicaidNumber": "138342", "state": "AL"}, {"medicaidNumber": "151160", "state": "AL"}] | [{"npiNumber": "1184993727", "state": "AL"}, {"npiNumber": "1811268410", "state": "AL"}, {"npiNumber": "1811268592", "state": "AL"}, {"npiNumber": "1275050189", "state": "AL"}] |
| 17 | 2026-10-09 | CAH011304-01 | 34997 | CAH | Choctaw General Hospital | Choc UrgCare Cln-But CGHC PS07 - RUSH CUCC PRIMARY CARE | TRUE | 2014-07-01 | No data | No data | CAH011304-00 | 29606 | 0 | No data | 011304 | 1 | No data | No data | No data | No data | 2026-08-18 16:42:48 | 2026-08-18 16:42:48 | No data | No data | 1404 E. Pushmataha Street | No data | No data | Butler | AL | 36904 | No data | Ochsner Clinic Foundation - Accounts Payable | 1201 Dickory Ave | No data | No data | NEW ORLEANS | LA | 70123 | No data | AL | 01023 | David Butler | Chief Financial Officer | 6017033082 | No data | Anita Ward | Director of Pharmacy | 2054599147 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "1404 E. Pushmataha Street", "city": "Butler", "state": "AL", "zip": "36904"}] | [{"medicaidNumber": "137229", "state": "AL"}, {"medicaidNumber": "138342", "state": "AL"}, {"medicaidNumber": "151160", "state": "AL"}] | [{"npiNumber": "1184993727", "state": "AL"}, {"npiNumber": "1275050189", "state": "AL"}, {"npiNumber": "1811268410", "state": "AL"}, {"npiNumber": "1811268592", "state": "AL"}] |
| 18 | 2026-10-09 | CAH011304-02 | 70706 | CAH | Choctaw General Hospital | Gilbertown Fam Med CGHC HW25 - RUSH GFMC FAMILY MEDICINE | TRUE | 2019-10-01 | No data | No data | CAH011304-00 | 29606 | 0 | No data | 011304 | 1 | No data | No data | No data | No data | 2026-08-18 16:43:15 | 2026-08-18 16:43:15 | No data | No data | 12731 HIGHWAY 17 | No data | No data | GILBERTOWN | AL | 36908 | 5229 | Ochsner Clinic Foundation - Accounts Payable | 1201 Dickory Ave | No data | No data | NEW ORLEANS | LA | 70123 | No data | AL | 01023 | David Butler | Chief Financial Officer | 6017033082 | No data | Anita Ward | Director of Pharmacy | 2054599147 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "12731 HIGHWAY 17", "city": "GILBERTOWN", "state": "AL", "zip": "36908", "zip4": "5229"}] | [{"medicaidNumber": "137229", "state": "AL"}, {"medicaidNumber": "138342", "state": "AL"}, {"medicaidNumber": "151160", "state": "AL"}] | [{"npiNumber": "1184993727", "state": "AL"}, {"npiNumber": "1275050189", "state": "AL"}, {"npiNumber": "1811268410", "state": "AL"}, {"npiNumber": "1811268592", "state": "AL"}] |
| 19 | 2026-10-09 | CAH011304-03 | 98691 | CAH | Choctaw General Hospital | Operating Rooms CGHH VF01 - RUSH CUCC VEIN CENTER | FALSE | 2024-01-01 | 2025-10-01 | Business decision by the Covered Entity | CAH011304-00 | 29606 | 0 | No data | 011304 | 1 | No data | No data | No data | No data | 2024-09-03 10:37:49 | 2025-10-01 00:01:14 | No data | No data | 1404 East Pushmataha Street | No data | No data | Butler | AL | 36904 | No data | No data | 1404 East Pushmataha Street | No data | No data | Butler | AL | 36904 | No data | AL | 01023 | David Butler | Chief Financial Officer | 6017033082 | No data | Anita Ward | Director of Pharmacy | 2054599147 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "1404 East Pushmataha Street", "city": "Butler", "state": "AL", "zip": "36904"}] | [{"medicaidNumber": "007253095", "state": "MS"}, {"medicaidNumber": "163403", "state": "AL"}] | [{"npiNumber": "1013355106", "state": "MS"}, {"npiNumber": "1013355106", "state": "AL"}] |
| 20 | 2026-10-09 | CAH011305-00 | 32168 | CAH | St. Vincent's Blount | No data | TRUE | 2014-01-01 | No data | No data | No data | No data | 1 | No data | 011305 | 0 | No data | No data | No data | No data | 2026-08-17 17:16:57 | 2026-08-17 17:16:57 | No data | No data | 150 Gilbreath Drive | No data | No data | Oneonta | AL | 35121 | No data | No data | 150 Gilbreath Drive | No data | No data | Oneonta | AL | 35121 | No data | AL | 01009 | Scott Hughes | Chief Financial Officer | 2054120590 | No data | TOMIE ANN BOACKLE | Director, Informatics and Regulatory Affairs | 2059759780 | No data | 15 | 0 | [{"is340BStreetAddress": true, "addressLine1": "150 Gilbreath Drive", "city": "Oneonta", "state": "AL", "zip": "35121"}, {"is340BStreetAddress": false, "organization": "St. Vincent's Blount", "addressLine1": "150 Gilbreath Drive", "city": "Oneonta", "state": "AL", "zip": "35121"}, {"is340BStreetAddress": false, "organization": "UAB St. Vincent's Blount Wellness Pharmacy", "addressLine1": "150 Gilbreath Drive", "addressLine3": "104", "city": "Oneonta", "state": "AL", "zip": "35121", "zip4": "2827"}] | [{"medicaidNumber": "154551", "state": "AL"}] | [{"npiNumber": "1184967523", "state": "AL"}] |
| 21 | 2026-10-09 | CAH011305-01 | 65159 | CAH | St. Vincent's Blount | ST. VINCENT'S PRIMARY CARE - ONEONT - Primary Care Clinic | TRUE | 2019-01-01 | No data | No data | CAH011305-00 | 32168 | 0 | No data | 011305 | 0 | No data | No data | No data | No data | 2026-08-17 17:18:04 | 2026-08-17 17:18:04 | No data | No data | 150 GILBREATH DR | No data | No data | ONEONTA | AL | 35121 | 2827 | No data | 150 GILBREATH DR | No data | No data | ONEONTA | AL | 35121 | 2827 | AL | 01009 | Scott Hughes | Chief Financial Officer | 2054120590 | No data | TOMIE ANN BOACKLE | Director, Informatics and Regulatory Affairs | 2059759780 | No data | 5 | 0 | [{"is340BStreetAddress": true, "addressLine1": "150 GILBREATH DR", "city": "ONEONTA", "state": "AL", "zip": "35121", "zip4": "2827"}] | [] | [] |
| 22 | 2026-10-09 | CAH011305-02 | 65161 | CAH | St. Vincent's Blount | ST. VINCENT'S PRIMARY CARE - SNEAD - Primary Care Clinic | FALSE | 2019-01-01 | 2020-07-01 | Site closure | CAH011305-00 | 32168 | 0 | No data | 011305 | 0 | No data | No data | No data | No data | 2019-08-20 15:10:19 | 2020-07-01 00:01:05 | No data | No data | 180 MEDICAL ST | No data | No data | SNEAD | AL | 35952 | 6468 | No data | 180 MEDICAL ST | No data | No data | SNEAD | AL | 35952 | 6468 | AL | 01055 | Gregory Dale Brown | Administrator | 2052743010 | No data | Gavin Keith Gilliland | Director of Pharmacy | 2052743337 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "180 MEDICAL ST", "city": "SNEAD", "state": "AL", "zip": "35952", "zip4": "6468"}] | [] | [] |
| 23 | 2026-10-09 | CAH011305-03 | 88601 | CAH | St. Vincent's Blount | ST VINCEN'S FAMILY CARE - CLEVELAND - PRIMARY CARE | TRUE | 2022-07-01 | No data | No data | CAH011305-00 | 32168 | 0 | No data | 011305 | 0 | No data | No data | No data | No data | 2026-08-17 17:19:24 | 2026-08-17 17:19:24 | No data | No data | 6945 COUNTY HIGHWAY 1 | No data | No data | CLEVELAND | AL | 35049 | 3927 | No data | 6945 COUNTY HIGHWAY 1 | No data | No data | CLEVELAND | AL | 35049 | 3927 | AL | 01009 | Scott Hughes | Chief Financial Officer | 2054120590 | No data | TOMIE ANN BOACKLE | Director, Informatics and Regulatory Affairs | 2059759780 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "6945 COUNTY HIGHWAY 1", "city": "CLEVELAND", "state": "AL", "zip": "35049", "zip4": "3927"}] | [] | [] |
| 24 | 2026-10-09 | CAH011306-00 | 68593 | CAH | Tanner Medical Center Alabama, Inc. | No data | TRUE | 2019-07-01 | No data | No data | No data | No data | 1 | No data | 011306 | 1 | No data | No data | No data | No data | 2026-08-19 13:34:54 | 2026-08-19 13:34:54 | No data | No data | 1032 South Main Street | No data | No data | Wedowee | AL | 36278 | No data | Tanner Medical Center, Inc. | 100 Greenway Blvd | No data | Suite A | Carrollton | GA | 30117 | No data | AL | 01111 | Carol S. Crews | CFO | 7708129745 | No data | Emily Renee Allen | 340B Program Manager | 7708128371 | No data | 26 | 26 | [{"is340BStreetAddress": true, "addressLine1": "1032 South Main Street", "city": "Wedowee", "state": "AL", "zip": "36278"}, {"is340BStreetAddress": false, "organization": "Safecor Health, LLC.", "addressLine1": "4060 Business Park Drive", "city": "Columbus", "state": "OH", "zip": "43204"}] | [{"medicaidNumber": "HOS0032H", "state": "AL"}] | [{"npiNumber": "1912428301", "state": "AL"}] |
| 25 | 2026-10-09 | CAH011306-01 | 84353 | CAH | Tanner Medical Center Alabama, Inc. | Tanner Primary Care of Wedowee - Primary Care | TRUE | 2021-10-01 | No data | No data | CAH011306-00 | 68593 | 0 | No data | 011306 | 1 | No data | No data | No data | No data | 2026-08-19 13:35:50 | 2026-08-19 13:35:50 | No data | No data | 1030 South Main Street | No data | Suite A | Wedowee | AL | 36278 | No data | Tanner Medical Center, Inc. | 100 Greenway Blvd | No data | Suite A | Carrollton | GA | 30117 | No data | AL | 01111 | Carol S. Crews | CFO | 7708129745 | No data | Emily Renee Allen | 340B Program Manager | 7708128371 | No data | 0 | 0 | [{"is340BStreetAddress": true, "addressLine1": "1030 South Main Street", "addressLine3": "Suite A", "city": "Wedowee", "state": "AL", "zip": "36278"}] | [{"medicaidNumber": "286723", "state": "AL"}] | [{"npiNumber": "1396002515", "state": "AL"}] |
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