340B Covered Entity Terminations List Effective 10/01/2014...340B Covered Entity Terminations List...
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340B Covered Entity Terminations List Effective 10/01/2014 (626 total entities listed) Row 340B ID Entity Name Entity Sub-Division Name City t e at Num S 1 CAH111306-03 EFFINGHAM HOSPITAL Effingham Family Medicine Rincon GA HOSPITAL AUTHORITY OF CHARLTON COUNTY DBA CHARLTON MEMORIAL 2 CAH111315-00 HOSPITAL FOLKSTON GA 3 CAH161333-03 STORY COUNTY HOSPITAL DBA STORY COUNTY MEDICAL CENTER SLATER CLINIC SLATER IA 4 CAH161370-00 Loring Hospital Sac City IA 5 CAH171318-00 SEDAN CITY HOSPITAL SEDAN KS 6 CAH171337-00 WAMEGO HOSPITAL ASSOCIATION WAMEGO KS 7 CAH171358-00 Lindsborg Community Hospital Association Lindsborg KS 8 CAH171382-02 Atchison Hospital Association Family Medical Center of Effingham Effingham KS 9 CAH181301-02 Marcum & Wallace Memorial Hospital, Inc. Mercy Health Clinic II Irvine KY 10 CAH181323-03 Ohio County Hospital Downtown Clinic Hartford KY 11 CAH191322-00 ABROM KAPLAN MEMORIAL HOSPIAL KAPLAN LA PIONEER HEALTH SERVICES OF MONROE COUNTY, INC. D/B/A PIONEER 12 CAH251302-04 COMMUNITY HOSPITAL PIONEER FAMILY MEDICAL OF CALEDONIA CALEDONIA MS 13 CAH261306-00 SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN MO 14 CAH281325-02 Brown County Hospital Brown County Hospital dba Ainsworth Family Clinic Ainsworth NE 15 CAH301303-05 WEEKS MEDICAL CENTER WEEKS MEDICAL CENTER-HOME HEALTH LANCASTER NH 16 CAH301303-06 WEEKS MEDICAL CENTER WEEKS MEDICAL CENTER-HOSPICE LANCASTER NH 17 CAH301304-02 THE NEW LONDON HOSPITAL ASSOCIATION, INC THE CLOUGH CENTER NEW LONDON NH 18 CAH301305-02 ALICE PECK DAY MEMORIAL HOSPITAL MIDWIFERY AT ALICE PECK DAY HOSPITAL LEBANON NH 19 CAH321304-00 CLAYTON HEALTH SYSTEMS, INC. DBA UNION COUNTY GENERAL HOSPITAL CLAYTON NM 20 CAH341305-00 SWAIN COUNTY HOSPITAL BRYSON CITY NC 21 CAH341307-00 PENDER MEMORIAL HOSPITAL BURGAW NC 22 CAH361312-00 MERCY MEMORIAL HOSPITAL URBANA OH 23 CAH381309-01 LAKE DISTRICT HOSPITAL LONG TERM CARE FACILITY LAKEVIEW OR 24 CAH381309-02 LAKE DISTRICT HOSPITAL SWING BED LAKEVIEW OR 25 CAH391302-00 Meyersdale Medical Center Meyersdale PA 26 CAH391302-01 Meyersdale Community Hospital Family Healthcare Meyersdale RHC Meyersdale PA 27 CAH391302-02 Meyersdale Community Hospital Family Healthcare Salisbury RHC Salisbury PA 28 CAH451314-00 Winkler County Memorial Hospital Kermit TX 29 CAH451314-01 Winkler County Memorial Hospital WCMH Rural Health Clinic Kermit TX 30 CAH451335-00 MUENSTER MEMORIAL HOSPITAL MUENSTER TX 31 CAH521341-00 The Richland Hospital Inc. Richland Center WI 32 CAH531312-01 West Park Hospital District Big Horn Basin Dialysis Cody WY 33 CH021992B PROJECT HOPE VOA-ALETHA WRIGHT MEN'S SHELTER Camden NJ 34 CH030880HO01 Valley Health Systems, Inc. Milan-Puskar Health Right Morgantown WV This list may not include all terminations due to individual extenuating circumstances Please review the entity record in the 340B program database for additional termination details Page 1 of 19
Transcript of 340B Covered Entity Terminations List Effective 10/01/2014...340B Covered Entity Terminations List...
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
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Num S
1 CAH111306-03 EFFINGHAM HOSPITAL Effingham Family Medicine Rincon GA
HOSPITAL AUTHORITY OF CHARLTON COUNTY DBA CHARLTON MEMORIAL
2 CAH111315-00 HOSPITAL FOLKSTON GA
3 CAH161333-03 STORY COUNTY HOSPITAL DBA STORY COUNTY MEDICAL CENTER SLATER CLINIC SLATER IA
4 CAH161370-00 Loring Hospital Sac City IA
5 CAH171318-00 SEDAN CITY HOSPITAL SEDAN KS
6 CAH171337-00 WAMEGO HOSPITAL ASSOCIATION WAMEGO KS
7 CAH171358-00 Lindsborg Community Hospital Association Lindsborg KS
8 CAH171382-02 Atchison Hospital Association Family Medical Center of Effingham Effingham KS
9 CAH181301-02 Marcum & Wallace Memorial Hospital, Inc. Mercy Health Clinic II Irvine KY
10 CAH181323-03 Ohio County Hospital Downtown Clinic Hartford KY
11 CAH191322-00 ABROM KAPLAN MEMORIAL HOSPIAL KAPLAN LA
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC. D/B/A PIONEER
12 CAH251302-04 COMMUNITY HOSPITAL PIONEER FAMILY MEDICAL OF CALEDONIA CALEDONIA MS
13 CAH261306-00 SULLIVAN COUNTY MEMORIAL HOSPITAL MILAN MO
14 CAH281325-02 Brown County Hospital Brown County Hospital dba Ainsworth Family Clinic Ainsworth NE
15 CAH301303-05 WEEKS MEDICAL CENTER WEEKS MEDICAL CENTER-HOME HEALTH LANCASTER NH
16 CAH301303-06 WEEKS MEDICAL CENTER WEEKS MEDICAL CENTER-HOSPICE LANCASTER NH
17 CAH301304-02 THE NEW LONDON HOSPITAL ASSOCIATION, INC THE CLOUGH CENTER NEW LONDON NH
18 CAH301305-02 ALICE PECK DAY MEMORIAL HOSPITAL MIDWIFERY AT ALICE PECK DAY HOSPITAL LEBANON NH
19 CAH321304-00 CLAYTON HEALTH SYSTEMS, INC. DBA UNION COUNTY GENERAL HOSPITAL CLAYTON NM
20 CAH341305-00 SWAIN COUNTY HOSPITAL BRYSON CITY NC
21 CAH341307-00 PENDER MEMORIAL HOSPITAL BURGAW NC
22 CAH361312-00 MERCY MEMORIAL HOSPITAL URBANA OH
23 CAH381309-01 LAKE DISTRICT HOSPITAL LONG TERM CARE FACILITY LAKEVIEW OR
24 CAH381309-02 LAKE DISTRICT HOSPITAL SWING BED LAKEVIEW OR
25 CAH391302-00 Meyersdale Medical Center Meyersdale PA
26 CAH391302-01 Meyersdale Community Hospital Family Healthcare Meyersdale RHC Meyersdale PA
27 CAH391302-02 Meyersdale Community Hospital Family Healthcare Salisbury RHC Salisbury PA
28 CAH451314-00 Winkler County Memorial Hospital Kermit TX
29 CAH451314-01 Winkler County Memorial Hospital WCMH Rural Health Clinic Kermit TX
30 CAH451335-00 MUENSTER MEMORIAL HOSPITAL MUENSTER TX
31 CAH521341-00 The Richland Hospital Inc. Richland Center WI
32 CAH531312-01 West Park Hospital District Big Horn Basin Dialysis Cody WY
33 CH021992B PROJECT HOPE VOA-ALETHA WRIGHT MEN'S SHELTER Camden NJ
34 CH030880HO01 Valley Health Systems, Inc. Milan-Puskar Health Right Morgantown WV
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 1 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
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Num S
35 CH03088L Valley Health Systems, Inc. WHEELING HEALTH RIGHT CENTER Wheeling WV
36 CH032930 PEOPLE'S COMMUNITY HEALTH CENTER, INC., THE PEOPLE'S COMMUNITY HEALTH CENTER Baltimore MD
37 CH03293A PEOPLE'S COMMUNITY HEALTH CENTER, INC., THE ANNE ARUNDEL FAMILY HEALTH Brooklyn MD
38 CH03293D PEOPLE'S COMMUNITY HEALTH CENTER, INC., THE YORKWOOD FAMILY HEALTH CENTER Baltimore MD
39 CH03293F PEOPLE'S COMMUNITY HEALTH CENTER, INC., THE OPEN GATES HEALTH CENTER Baltimore MD
WEINBERG Center for Behavioral Health, Pharmacy and
40 CH03293G PEOPLE'S COMMUNITY HEALTH CENTER, INC., THE Dental Services Baltimore MD
41 CH03293H PEOPLE'S COMMUNITY HEALTH CENTER, INC., THE People's at HERO Baltimore MD
42 CH03293J PEOPLE'S COMMUNITY HEALTH CENTER, INC., THE Odenton Health Center Odenton MD
43 CH04168M FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. Bonita Springs Adult Medical Site Bonita Springs FL
44 CH04168N FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC. BONITA SPRINGS DENTAL OFFICE Bonita Springs FL
45 CH04285F RURAL HEALTH MEDICAL PROGRAM, INC. VREDENBURGH HEALTH CENTER VREDENBURGH AL
46 CH04327V EAU CLAIRE COOPERATIVE HEALTH CENTER Hopkins Family Practice Hopkins SC
47 CH044245H PANCARE OF FLORIDA INC PanCare Mobile Dental Unit PANAMA CITY FL
48 CH04518D COMMUNITY HEALTH CARE SYSTEMS INC COMMUNITY HEALTH CARE SYSTEMS-TWIGGS Jeffersonville GA
49 CH04708C MOBILE, COUNTY OF MOBILE CO TRAINING SCHOOL CLINIC Mobile AL
50 CH05099D HEALTHSOURCE OF OHIO, INC. Greenfield Greenfield OH
51 CH05105AF CHICAGO FAMILY HEALTH CENTER, INC. Chicago Family Health Center 89th Street Chicago IL
52 CH05105P CHICAGO FAMILY HEALTH CENTER, INC. FAMILY RESCUE Chicago IL
53 CH05105Q CHICAGO FAMILY HEALTH CENTER, INC. MATTHEW HOUSE Chicago IL
54 CH05105U CHICAGO FAMILY HEALTH CENTER, INC. IT TAKES A VILLAGE(INNER VOICE) Chicago IL
55 CH05105Y CHICAGO FAMILY HEALTH CENTER, INC. Olive Branch Mission Chicago IL
56 CH05105Z CHICAGO FAMILY HEALTH CENTER, INC. Maria Shelter Chicago IL
57 CH05218H RURAL HEALTH, INC. COBDEN DENTAL CLINIC COBDEN IL
58 CH05218L RURAL HEALTH INC ANNA ANNEX PRIMARY CARE CLINIC Anna IL
59 CH05758F University of Illinois Mile Square Health Center Near West Clinic Chicago IL
60 CH061949H LONE STAR CIRCLE OF CARE A.W. Grimes Medical Offices Round Rock TX
61 CH06371F SOUTHEAST COMMUNITY HEALTH SYSTEMS Southeast Community Health Systems - Zachary Zachary LA
62 CH07027E SWOPE HEALTH SERVICES SWOPE HEALTH INDEPENDENCE INDEPENDENCE MO
63 CH09196D NORTHEASTERN RURAL HEALTH CLINICS, INC. DOYLE FAMILY PRACTICE DOYLE CA
64 CH09311G ALTAMED HEALTH SERVICES CORPORATION AltaMed PACE - East Los Angeles Los Angeles CA
65 CH09900D EAST VALLEY COMMUNITY HEALTH CENTER INC East Valley CHC - Pomona/Garey Pomona CA
66 CH10131L CLACKAMAS, COUNTY OF Oregon City Beavercreek Clinic - Dental Services Oregon City OR
67 CHC00850-02 WATTS HEALTHCARE CORPORATION Magic Johnson School Based Health Center LOS ANGELES CA
68 CHC12862-01 Loudoun Community Health Center The Health Center for Children and Families Sterling VA
69 CHC24127-01 BANYAN COMMUNITY HEALTH CENTER, INC. Banyan Community Health Center - W. Flagler Miami FL
70 CHC24127-02 BANYAN COMMUNITY HEALTH CENTER, INC. Flagler Main Site MIAMI FL
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
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340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
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Num S
71 CHC24197-00 HEALTH SERVICES OF NORTH TEXAS , INC. HSNT Social Service Center and Administrative Office Denton TX
72 DSH010025 George H. Lanier Memorial Hospital VALLEY AL
73 DSH010059 Lawrence Medical Center Moulton AL
THE HEALTHCARE AUTHORITY FOR MEDICAL WEST, AN AFFILIATE OF UAB
74 DSH010114 HEALTH SYSTEM BESSEMER AL
75 DSH040042 CRITTENDEN MEMORIAL HOSPITAL WEST MEMPHIS AR
76 DSH040042A CRITTENDEN MEMORIAL HOSPITAL Riverside Clinic Marked Tree AR
77 DSH050025AG UCSD MEDICAL CENTER Thornton Hospital - Cardiovascular Clinic II La Jolla CA
78 DSH050025AJ UCSD MEDICAL CENTER Thornton Hospital - Nutritional Consultants La Jolla CA
79 DSH050054 San Gorgonio Memorial Hospital Banning CA
80 DSH050179 EMANUEL MEDICAL CENTER TURLOCK CA
81 DSH050179A EMANUEL MEDICAL CENTER Outpatient Medical Oncology Clinic Turlock CA
82 DSH050196M Central Valley General Hospital Adventist Health/Community Care - Kettleman City Ketleman City CA
83 DSH050301B UKIAH VALLEY MEDICAL CENTER RNC - ENT Ukiah CA
84 DSH050575 Tri-City Regional Medical Center Hawaiian Gardens CA
CLINICAL NEUROPHYSIOLOGY CLINIC AT AMBULATORY
85 DSH050599AS UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER CARE CENTER Sacramento CA
86 DSH050599G UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY CYPRESS CLINIC Sacramento CA
87 DSH050599J UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER INTERNAL MEDICINE CYPRESS CLINIC Sacramento CA
88 DSH050599Q UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER CHILD PROTECTION CENTER AT GLASSROCK Sacramento CA
89 DSH050625AP CEDARS-SINAI MEDICAL CENTER Cath Lab Faculty OP Clinic Los Angeles CA
90 DSH050625K CEDARS-SINAI MEDICAL CENTER Gamma Knife Center Los Angeles CA
91 DSH050696E Keck Hospital of USC SURGERY CLINIC LOS ANGELES CA
92 DSH050696J Keck Hospital of USC Keck Medical Center of USC- La Canada La Canada CA
93 DSH060008A SAN LUIS VALLEY REGIONAL MEDICAL CENTER STUART AVENUE CLINIC ALAMOSA CO
94 DSH070022BW YALE NEW HAVEN HOSPITAL Temple Endoscopy NEW HAVEN CT
95 DSH100006Q ORLANDO HEALTH Infectious Disease - Hosp Based Orlando FL
96 DSH100007BM Florida Hospital Florida Hospital Orlando Recovery, Obs & Photopheresis Orlando FL
97 DSH100025AZ SACRED HEART HEALTH SYSTEM Tiger Point II Gulf Breeze FL
98 DSH100025X SACRED HEART HEALTH SYSTEM SACRED HEART MEDICAL GROUP - RETZLOFF PENSACOLA FL
99 DSH100142C JACKSON HOSPITAL Chipola Surgical & Medical Specialties - Urology Marianna FL
100 DSH110007K PHOEBE PUTNEY MEMORIAL HOSPITAL Phoebe Industrial Rehab Albany GA
101 DSH110007S PHOEBE PUTNEY MEMORIAL HOSPITAL Phoebe Worth Wound Care Center Sylvester GA
102 DSH110073D DORMINY MEDICAL CENTER WOUND CARE CENTER FITZGERALD GA
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 3 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
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Num S
103 DSH130007AD Saint Alphonsus Regional Medical Center SAMG Gynecology Oncology Boise ID
104 DSH130007AF Saint Alphonsus Regional Medical Center SAMG Wound And Hyperbaric Boise Boise ID
105 DSH130007AR Saint Alphonsus Regional Medical Center SAMG Spasticity Boise Boise ID
106 DSH130007AW Saint Alphonsus Regional Medical Center SAMG Pediatric Orthopedics Hartman Boise ID
107 DSH130007BB Saint Alphonsus Regional Medical Center SAMG Comprehensive Pain Spine Boise ID
108 DSH130007BC Saint Alphonsus Regional Medical Center SAMG Palliative Care Boise Boise ID
109 DSH130007BG Saint Alphonsus Regional Medical Center SAMG Vascular Services Boise 300 Boise ID
110 DSH130007E Saint Alphonsus Regional Medical Center SAMG Occupational Med MHP Meridian ID
111 DSH130007W Saint Alphonsus Regional Medical Center SAMG Boise Pediatrics Mulvaney Boise ID
112 DSH140114F SWEDISH COVENANT HOSPITAL HOME HEALTH CARE CHICAGO IL
113 DSH140114H Swedish Covenant Hospital Outpatient Oncology Infusion Center Evanston Evanston IL
114 DSH140115A THOREK HOSPITAL AND MEDICAL CENTER CLARK/IRVING SENIOR CENTER CHICAGO IL
115 DSH140119A RUSH UNIVERSITY MEDICAL CENTER PROFESSIONAL OFFICE BUILDING CHICAGO IL
116 DSH140119B RUSH UNIVERSITY MEDICAL CENTER INFUSION CENTER CHICAGO IL
117 DSH140119D RUSH UNIVERSITY MEDICAL CENTER HOME INFUSION SOLUTIONS CENTER OAK PARK IL
118 DSH140137E Greenville Regional Hospital, Inc Convenient Care Greenville IL
119 DSH140137F Greenville Regional Hospital, Inc Greenville Family Wellness Center - Mulberry Grove Mulberry Grove IL
LOYOLA PRIMARY CARE CENTER AT OAK BROOK OAKBROOK
120 DSH140276C LOYOLA UNIVERSITY MEDICAL CENTER TERRACE TERRACE IL
121 DSH150011D MARION GENERAL HOSPITAL, INC. MGH DIAGNOSTICS - KEM VIEW MARION IN
122 DSH150045 DeKalb Memorial Hospital Inc Auburn IN
123 DSH150056CL INDIANA UNIVERSITY HEALTH INC IU Health Emergency Department Indianapolis IN
124 DSH150061 Daviess Community Hospital Washington IN
125 DSH150061A Daviess Community Hospital Grand Avenue Pediatrics Washington IN
126 DSH150061B Daviess Community Hospital North Daviess Medical Clinic Odon IN
127 DSH150061C Daviess Community Hospital Quick Care Clinic Washington IN
128 DSH150061D Daviess Community Hospital Daviess Martin Medical Clinic Loogootee IN
129 DSH150061E Daviess Community Hospital DCH Medical Clinic Washington IN
130 DSH150061F Daviess Community Hospital Dr. Thorne Ortho & Sports Medicine Washington IN
131 DSH150061G Daviess Community Hospital Wound Care Center Washington IN
132 DSH150061H Daviess Community Hospital Washington Surgical Associates Washington IN
133 DSH150061J Daviess Community Hospital DCH Diabetes & Endocrinology Washington IN
134 DSH150061K Daviess Community Hospital Diabetes Management Washington IN
135 DSH150061L Daviess Community Hospital Advanced Orthopedics Washington IN
136 DSH150061M Daviess Community Hospital Grand Avenue Pediatrics Washington IN
137 DSH150061N Daviess Community Hospital North Daviess Medical Clinic Odon IN
138 DSH150061P Daviess Community Hospital Quick Care Clinic Washington IN
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 4 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
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Num S
139 DSH150061Q Daviess Community Hospital Daviess Martin Medical Clinic Loogootee IN
140 DSH150061R Daviess Community Hospital Daviess Community Hospital Medical Clinic Washington IN
141 DSH150084B ST. VINCENT HOSPITAL AND HEALTH CARE CENTER ST. VINCENT STRESS CENTER INDIANAPOLIS IN
142 DSH150084E ST. VINCENT HOSPITAL AND HEALTH CARE CENTER St. Vincent Hospice Indianapolis IN
143 DSH150089M INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC. IUH BMH Rehab Services Yorktown IN
144 DSH160083F CATHOLIC HEALTH INITIATIVES - IOWA, CORP MERCY BEHAVIORAL HEALTH (HOSPITAL DEPT) DES MOINES IA
145 DSH160083N CATHOLIC HEALTH INITIATIVES - IOWA, CORP MERCY WIEGHT LOSS AND NUTRITION CENTER CLIVE IA
146 DSH180051A JENNIE STUART MEDICAL CENTER HOPKINSVILLE KY
147 DSH190009 HUEY P. LONG MEDICAL CENTER PINEVILLE LA
148 DSH190039E WEST JEFFERSON MEDICAL CENTER PEDIATRICS SPECIALTY MARRERO LA
149 DSH190041L CHRISTUS Health Shreveport-Bossier NHL EMERGENCY RM 2 Shreveport LA
150 DSH190046L TOURO INFIRMARY Internal Medicine & Family Practice New Orleans LA
151 DSH190114 HOMER MEMORIAL HOSPITAL HOMER LA
152 DSH190204 OCHSNER MEDICAL CENTER - NORTHSHORE LLC SLIDELL LA
153 DSH200024A CENTRAL MAINE MEDICAL CENTER Women's Health Brunswick ME
154 DSH200024Y CENTRAL MAINE MEDICAL CENTER Brunswick Pulmonology Brunswick ME
155 DSH200039J MAINEGENERAL MEDICAL CENTER MaineGeneral Vascular & General Surgery Waterville ME
156 DSH200039L MAINEGENERAL MEDICAL CENTER MaineGeneral Neurology Waterville ME
157 DSH200039R MAINEGENERAL MEDICAL CENTER Kennebec Valley Surgical Partners Waterville ME
158 DSH200039U MAINEGENERAL MEDICAL CENTER MaineDarthmouth Family Practice Fairfield ME
159 DSH200052 NORTHERN MAINE MEDICAL CENTER FORT KENT ME
160 DSH200052A NORTHERN MAINE MEDICAL CENTER Acadia Family Health Madawaska ME
161 DSH200052B NORTHERN MAINE MEDICAL CENTER Medical Office Building Fort Kent ME
Valley Medical Association d/b/a Fort Kent Family
162 DSH200052C NORTHERN MAINE MEDICAL CENTER Practice Fort Kent ME
163 DSH200052D NORTHERN MAINE MEDICAL CENTER Valley Medical Association d/b/a James Harris, MD Fort Kent ME
164 DSH200052E NORTHERN MAINE MEDICAL CENTER Station Hill RHC Fort Kent ME
165 DSH230020G OAKWOOD HOSPITAL & MEDICAL CENTER (OHMC) Oakwood Outpatient Dialysis Center Dearborn MI
166 DSH230053FD HENRY FORD HOSPITAL Henry Ford Medical Center Hamtramck Podiatry Hamtramck MI
Henry Ford Medical Center East Jefferson Geriatric
167 DSH230053LT HENRY FORD HOSPITAL Medicine St. Clair Shores MI
168 DSH230053MK HENRY FORD HOSPITAL Henry Ford Medical Center Harbortown After Hours Detroit MI
Henry Ford Medical Center Warren Occupational
169 DSH230053ML HENRY FORD HOSPITAL Therapy Warren MI
Henry Ford Medical Center Southfield Occupational
170 DSH230053QI Henry Ford Hospital Medicine Rehab Southfield MI
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 5 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
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Num S
Outpatient and Substance Abuse Behavioral Health
171 DSH230072M HOLLAND HOSPITAL Services Holland MI
172 DSH240106H REGIONS HOSPITAL HSC Radiology Department St. Paul MN
MEMORIAL HOSPITAL AT GULFPORT D/B/ - Urology at
173 DSH250019BZ MEMORIAL HOSPITAL AT GULFPORT Cedar Lake BILOXI MS
174 DSH250040E SINGING RIVER HEALTH SYSTEM SRHS Clinics - D'Iberville D'Iberville MS
175 DSH250040F SINGING RIVER HEALTH SYSTEM SRHS Clinics - Gautier Gautier MS
176 DSH250040T SINGING RIVER HEALTH SYSTEM Occupational Health and Wellness Pascagoula MS
177 DSH260040A LESTER E COX MEDICAL CENTERS DBA COXHEALTH BONE AND JOINT CENTER SPRINGFIELD MO
178 DSH260040C LESTER E COX MEDICAL CENTERS DBA COXHEALTH TURNER CENTER SPRINGFIELD MO
179 DSH260040F LESTER E COX MEDICAL CENTERS DBA COXHEALTH COX MEYER CENTER SPRINGFIELD MO
MARTIN CENTER FOR DIAGNOSTIC AND IMAGING
180 DSH260040G LESTER E COX MEDICAL CENTERS DBA COXHEALTH SERVICES SPRINGFIELD MO
181 DSH260061C NEVADA CITY HOSPITAL DBA NEVADA REGIONAL MEDICAL CENTER ORTHOPEDIC SPECIALTY SERVICES NEVADA MO
182 DSH260142 JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. MARSHALL MO
183 DSH260142A JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. Akeman McBurney Clinic Slater MO
184 DSH260142B JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. Grand River Medical Clinic Brunswick MO
185 DSH310006 ST MARY'S HOSPITAL - PASSAIC PASSAIC NJ
186 DSH310019J St. Joseph's Hospital and Medical Center St. Joseph's Cardiovascular Center - Fair Lawn Fair Lawn NJ
187 DSH310092A CAPITAL HEALTH SYSTEM - FULD Satellite Emergency Department Trenton NJ
188 DSH320001AL UNIVERSITY OF NEW MEXICO HOSPITAL UNMH Clinical Neurosciences Center Albuquerque NM
189 DSH320018 Memorial Medical Center, Inc. Las Cruces NM
190 DSH320021AD PRESBYTERIAN HOSPITAL PMG LOS LUNAS LOS LUNAS NM
191 DSH320021AF PRESBYTERIAN HOSPITAL PMG Rio Rancho High Resort 4005 Rio Rancho NM
192 DSH320021F PRESBYTERIAN HOSPITAL PMG ATRISCO ALBUQUERQUE NM
193 DSH320021G PRESBYTERIAN HOSPITAL PMG BELEN BELEN NM
194 DSH320021H PRESBYTERIAN HOSPITAL PMG HIGH RESORT 4100 RIO RANCHO NM
195 DSH320021I PRESBYTERIAN HOSPITAL PMG ISLETA ALBUQUERQUE NM
196 DSH320021N PRESBYTERIAN HOSPITAL PMG MONTGOMERY ALBUQUERQUE NM
197 DSH320021O PRESBYTERIAN HOSPITAL PMG NORTHSIDE ALBUQUERQUE NM
198 DSH320021P PRESBYTERIAN HOSPITAL PMG RIO RANCHO SOUTHERN RIO RANCHO NM
199 DSH320021Q PRESBYTERIAN HOSPITAL PMG SAN MATEO ALBUQUERQUE NM
200 DSH330047J ST. MARYS HEALTHCARE Health Center at St. Johnsville St. Johnsville NY
201 DSH330055M THE NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS Health Outreach: Services For Older Adults Flushing NY
202 DSH330086 THE MOUNT VERNON HOSPITAL MOUNT VERNON NY
203 DSH330108A ST. JOSEPH'S HOSPITAL ELMIRA PRIMARY CARE ELMIRA NY
204 DSH330108B ST. JOSEPH'S HOSPITAL BIG FLATS PRIMARY CARE BIG FLATS NY
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 6 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
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Num S
205 DSH330108C ST. JOSEPH'S HOSPITAL SOUTHPORT PRIMARY CARE ELMIRA NY
206 DSH330108F ST. JOSEPH'S HOSPITAL ST. JOSEPH'S HOSPITAL INFUSION CLINIC ELMIRA NY
207 DSH330184 SOUND SHORE MEDICAL CENTER NEW ROCHELLE NY
208 DSH330232H SETON HEALTH SYSTEM SETON HEALTH OB/GYN COHOES NY
209 DSH330372 Franklin Hospital Valley Stream NY
210 DSH340013 RUTHERFORD HOSPITAL, INC. RUTHERFORDTON NC
211 DSH340014X Forsyth Memorial Hospital, Inc d/b/a Novant Health Forsyth Medical Center Novant Health Kernersville Internal Medicine Kernersville NC
212 DSH340016 HARRIS REGIONAL HOSPITAL SYLVA NC
WESTERN CAROLINA PULMONARY AND SLEEP
213 DSH340016A HARRIS REGIONAL HOSPITAL CONSULTANTS SYLVA NC
214 DSH340016B HARRIS REGIONAL HOSPITAL SYLVA MEDICAL CENTER SYLVA NC
215 DSH340016C HARRIS REGIONAL HOSPITAL CENTER FOR FAMILY MEDICINE FRANKLIN NC
216 DSH340016D HARRIS REGIONAL HOSPITAL MOUNTAIN CARE UROLOGY SYLVA NC
217 DSH340023E PARK RIDGE HEALTH Family Medicine at Biltmore Park Asheville NC
218 DSH340023K PARK RIDGE HEALTH Park Ridge Medical Associates Asheville NC
219 DSH340023T PARK RIDGE HEALTH Park Ridge Plastic Surgery/Park Ridge Family Medicine Ashville NC
220 DSH340024 SAMPSON REGIONAL MEDICAL CENTER CLINTON NC
221 DSH340024A SAMPSON REGIONAL MEDICAL CENTER SRMC Outpatient Rehab - Speech Therapy Clinton NC
222 DSH340024B SAMPSON REGIONAL MEDICAL CENTER SRMC Outpatient Diagnostics Center-Radiology Clinton NC
223 DSH340024C SAMPSON REGIONAL MEDICAL CENTER SRMC Outpatient Diagnostics Center - Nuclear Medicine Clinton NC
224 DSH340024D SAMPSON REGIONAL MEDICAL CENTER SRMC Outpatient Diagnostics Center - Ultrasound Clinton NC
225 DSH340024E SAMPSON REGIONAL MEDICAL CENTER SRMC Outpatient Diagnostics Center - Mammography Clinton NC
226 DSH340024F SAMPSON REGIONAL MEDICAL CENTER SRMC Outpatient Diagnostics Center - CT Scanning Clinton NC
227 DSH340024G SAMPSON REGIONAL MEDICAL CENTER SRMC Outpatient Diagnostics Center - MRI Clinton NC
228 DSH340024H SAMPSON REGIONAL MEDICAL CENTER Cardiopulmonary Rehabalitation Institute Clinton NC
229 DSH340024J SAMPSON REGIONAL MEDICAL CENTER SRMC Outpatient Rehab - Physical Therapy Clinton NC
230 DSH340024K SAMPSON REGIONAL MEDICAL CENTER SRMC Outpatient Rehab - Occupational Therapy Clinton NC
231 DSH340028R CAPE FEAR VALLEY MEDICAL CENTER Cape Fear Valley Pediatric Care North Fayetteville NC
232 DSH340028X CAPE FEAR VALLEY MEDICAL CENTER Coumadin Clinic Fayetteville NC
233 DSH340032E GASTON MEMORIAL HOSPITAL PAIN CENTER GASTONIA NC
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 7 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
234 DSH340041 CALDWELL MEMORIAL HOSPITAL LENOIR NC
235 DSH340061H UNC Hospitals Physical Therapy Chapel Hill NC
236 DSH340069AQ WAKEMED WakeMed Garner Healthplex- Emergency Department Garner NC
WakeMed Garner Healthplex-Imaging Services-
237 DSH340069AR WAKEMED Ultrasound Garner NC
238 DSH340069AS WAKEMED WakeMed Garner Healthplex-Imaging Services- MRI Garner NC
239 DSH340069AT WAKEMED WakeMed Garner Healthplex--Imaging Services-CT Garner NC
240 DSH340069AU WAKEMED WakeMed Garner Healthplex--Imaging Services Garner NC
241 DSH340119 STANLY REGIONAL MEDICAL CENTER ALBEMARLE NC
SHELTERING ARMS HOSPITAL FOUNDATION INC DBA O'BLENESS MEMORIAL
242 DSH360014 HOSPITAL ATHENS OH
243 DSH360096 EAST LIVERPOOL CITY HOSPITAL EAST LIVERPOOL OH
244 DSH390086BD DUBOIS REGIONAL MEDICAL CENTER DRMC Neurology Clearfield Clearfield PA
245 DSH390086BV DUBOIS REGIONAL MEDICAL CENTER DRMC Specialty Services Rheumatology St Marys PA
246 DSH390086BW DUBOIS REGIONAL MEDICAL CENTER DRMC Specialty Services Rheumatology Clearfield PA
247 DSH390086BX DUBOIS REGIONAL MEDICAL CENTER DRMC Specialty Services Rheumatology DuBois PA
248 DSH390197D SACRED HEART HOSPITAL Sacred Heart Visiting Nurses Allentown PA
249 DSH390197E SACRED HEART HOSPITAL Sacred Heart Hospice Allentown PA
250 DSH420067 BEAUFORT MEMORIAL HOSPITAL BEAUFORT SC
251 DSH420078Y GREENVILLE MEMORIAL HOSPITAL CCC-Anderson Anderson SC
McLeod Loris Seacoast Hospital - Loris Extended Care
252 DSH420105B McLeod Loris Seacoast Hospital Center Loris SC
253 DSH440049A METHODIST HEALTHCARE - MEMPHIS HOSPITALS METHODIST NORTH MEMPHIS TN
254 DSH440049B METHODIST HEALTHCARE - MEMPHIS HOSPITALS METHODIST SOUTH MEMPHIS TN
255 DSH440049C METHODIST HEALTHCARE - MEMPHIS HOSPITALS METHODIST GERMANTOWN GERMANTOWN TN
256 DSH440049D METHODIST HEALTHCARE - MEMPHIS HOSPITALS METHODIST LE BONHEUR MEMPHIS TN
257 DSH440049F METHODIST HEALTHCARE - MEMPHIS HOSPITALS Oncology Memphis TN
258 DSH440109A HARDIN COUNTY GENERAL HOSPITAL HMC Urgent Care Center Savannah TN
DALLAS COUNTY HOSPITAL DISTRICT, PARKLAND HEALTH AND HOSPITAL
259 DSH450015F SYSTEM COPC DRUG REPACKAGING-FDA LIC.#1642776 DALLAS TX
UTMB COMMUNITY HEALTH SERVICES CLINIC - LAKES
260 DSH450018AA UNIVERSITY OF TEXAS MEDICAL BRANCH REGIONAL, TERRELL TERRELL TX
UTMB COMMUNITY HEALTH SERVICES CLINIC –
261 DSH450018AB UNIVERSITY OF TEXAS MEDICAL BRANCH ADAPT OF TEXAS KAUFMAN KAUFMAN TX
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 8 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
UTMB COMMUNITY HEALTH SERVICES CLINIC –
262 DSH450018AC UNIVERSITY OF TEXAS MEDICAL BRANCH DALLAS METRO CARE WESTMORELAND DALLAS TX
UTMB COMMUNITY HEALTH SERVICES CLINIC –
263 DSH450018AD UNIVERSITY OF TEXAS MEDICAL BRANCH ADAPT OF TEXAS CORSICANA CORSICANA TX
UTMB COMMUNITY HEALTH SERVICES CLINIC –
264 DSH450018AE UNIVERSITY OF TEXAS MEDICAL BRANCH DALLAS METRO CARE LK DALLAS TX
UTMB COMMUNITY HEALTH SERVICES CLINIC - LAKES
265 DSH450018AH UNIVERSITY OF TEXAS MEDICAL BRANCH REGIONAL GREENVILLE GREENVILLE TX
UTMB COMMUNITY HEALTH SERVICES CLINIC - ADAPT
266 DSH450018M UNIVERSITY OF TEXAS MEDICAL BRANCH OF TEXAS-WAXAHACHIE WAXAHACHIE TX
UTMB COMMUNITY HEALTH SERVICES CLINIC - CENTRO
267 DSH450018N UNIVERSITY OF TEXAS MEDICAL BRANCH DEMI SALUD DALLAS TX
UTMB COMMUNITY HEALTH SERVICES CLINIC - LIFE
268 DSH450018P UNIVERSITY OF TEXAS MEDICAL BRANCH PATH SYSTEMS, PLANO PLANO TX
UTMB COMMUNITY HEALTH SERVICES CLINIC –
269 DSH450018R UNIVERSITY OF TEXAS MEDICAL BRANCH LIFENET DALLAS TX
UTMB COMMUNITY HEALTH SERVICES CLINIC –
270 DSH450018S UNIVERSITY OF TEXAS MEDICAL BRANCH CHILD & FAMILY GUIDANCE MESQUITE TX
UTMB COMMUNITY HEALTH SERVICES CLINIC –
271 DSH450018U UNIVERSITY OF TEXAS MEDICAL BRANCH ADAPT OF TEXAS MCKINNEY MCKINNEY TX
UTMB COMMUNITY HEALTH SERVICES CLINIC –
272 DSH450018V UNIVERSITY OF TEXAS MEDICAL BRANCH DALLAS METRO CARE ALTSHULER DALLAS TX
UTMB COMMUNITY HEALTH SERVICES CLINIC –
273 DSH450018W UNIVERSITY OF TEXAS MEDICAL BRANCH ADAPT OF TEXAS DALLAS DALLAS TX
UTMB COMMUNITY HEALTH SERVICES CLINIC –
274 DSH450018X UNIVERSITY OF TEXAS MEDICAL BRANCH CHILD & FAMILY GUIDANCE DALLAS TX
UTMB COMMUNITY HEALTH SERVICES CLINIC –
275 DSH450018Y UNIVERSITY OF TEXAS MEDICAL BRANCH DALLAS METRO CARE PATHWAY DALLAS TX
UTMB COMMUNITY HEALTH SERVICES CLINIC – LIFE
276 DSH450018Z UNIVERSITY OF TEXAS MEDICAL BRANCH PATH SYSTEMS MCKINNEY MCKINNEY TX
277 DSH450054AF SCOTT AND WHITE MEMORIAL HOSPITAL SCOTT AND WHITE CAMERON CAMERON TX
278 DSH450054AG SCOTT AND WHITE MEMORIAL HOSPITAL SCOTT AND WHITE WESTFIELD Temple TX
279 DSH450137C BAYLOR ALL SAINTS MEDICAL CENTER Baylor All Saints Burleson Pain Clinic Burleson TX
280 DSH450213A UNIVERSITY HEALTH SYSTEM UNIVERSITY HEALTH CENTER - DOWNTOWN SAN ANTONIO TX
281 DSH450213AP UNIVERSITY HEALTH SYSTEM Women's Health Services - SE San Antonio TX
282 DSH450213B UNIVERSITY HEALTH SYSTEM UNIVERSITY FAMILY HEALTH CENTER - SW SAN ANTONIO TX
283 DSH450213C UNIVERSITY HEALTH SYSTEM UNIVERSITY FAMILY HEALTH CENTER - SE SAN ANTONIO TX
284 DSH450213E UNIVERSITY HEALTH SYSTEM UNIVERSITY CENTER FOR COMMUNITY HEALTH SAN ANTONIO TX
285 DSH450237R CHRISTUS SANTA ROSA HEALTH SYSTEM Alamo Heights - Surgery-General San Antonio TX
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 9 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
286 DSH450237S CHRISTUS SANTA ROSA HEALTH SYSTEM Alamo Heights - Ambultry Surg 2 San Antonio TX
287 DSH450237T CHRISTUS SANTA ROSA HEALTH SYSTEM Alamo Heights - Radiolo-Diagnos San Antonio TX
288 DSH450237U CHRISTUS SANTA ROSA HEALTH SYSTEM Alamo Heights - Emergency Room San Antonio TX
289 DSH450289X Harris County Hospital District dba Harris Health System Deepwater Health Clinic Pasadena TX
290 DSH490024AZ CARILION MEDICAL CENTER NEUROSCIENCES ROANOKE VA
291 DSH490024BG CARILION MEDICAL CENTER GENERAL SURGERY ROCKY MOUNT HARDY VA
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION DBA CENTRAL
292 DSH500016E WASHINGTON HOSPITAL Wenatchee Orthopedics Wenatchee WA
293 DSH500129AB TACOMA GENERAL/ALLENMORE HOSPITAL Podiatry Clinic Tacoma WA
294 DSH520136A WHEATON FRANCISCAN, INC. GLENDALE CAMPUS MILWAUKEE WI
295 DSH520136AN WHEATON FRANCISCAN, INC. Elmbrook Radiology Nursing Brookfield WI
296 FP002279 CALHOUN COUNTY HEALTH DEPARTMENT MORGAN GA
297 FP002289 ATKINSON COUNTY HEALTH DEPARTMENT PEARSON GA
298 FP002293 WEBSTER COUNTY HEALTH DEPARTMENT PRESTON GA
Concord Hospital Family Health Center-Hillsboro-
299 FP03244 Concord Hospital Family Health Center-Hillsboro-Deering Deering HILLSBORO NH
300 FP033024 CONCORD HOSPITAL FAMILY HEALTH CENTER CONCORD NH
301 FP105322 PLANNED PARENTHOOD HUDSON PECONIC, INC HAWTHORNE ADMINISTRATIVE OFFICE HAWTHORNE NY
302 FP159051 WOMENS CENTER OF MEMORIAL MEDICAL CENTER JOHNSTOWN PA
303 FP171029 PLANNED PARENTHOOD Keystone HARRISBURG HARRISBURG PA
304 FP172019 PLANNED PARENTHOOD Keystone CHAMBERSBURG CENTER CHAMBERSBURG PA
305 FP173258 PLANNED PARENTHOOD Keystone ADAMS COUNTY CENTER GETTYSBURG PA
306 FP173319 PLANNED PARENTHOOD Keystone HANOVER CENTER HANOVER PA
307 FP173561 PLANNED PARENTHOOD Keystone RED LION CENTER RED LION PA
308 FP174034 PLANNED PARENTHOOD Keystone YORK YORK PA
309 FP176025 PLANNED PARENTHOOD Keystone LANCASTER LANCASTER PA
SC DHEC Midlands Richland Co The Point at Eau Claire
310 FP29203 SC DHEC Midlands Region Richland Co The Point at Eau Claire FP Health Dept FP Columbia SC
311 FP300081 DPH HEALTH DISTRICT 3-1 MARIETTA HEALTH CENTER MARIETTA GA
312 FP300347 SOUTH DEKALB HEALTH CENTER DECATUR GA
313 FP300452 GWINNETT COUNTY HEALTH DEPARTMENT, DISTRICT 3-4 Lawrenceville GA
314 FP30046 LAWRENCEVILLE HEALTH CENTER LAWRENCEVILLE GA
315 FP300606 EAST COBB HEALTH CENTER MARIETTA GA
316 FP300712 BUFORD HEALTH CENTER BUFORD GA
317 FP300752 NORTH FULTON REGIONAL HEALTH CENTER ALPHARETTA GA
318 FP30093 NORCROSS HEALTH CENTER NORCROSS GA
319 FP301016 ACWORTH HEALTH CENTER ACWORTH GA
320 FP301139 HARALSON COUNTY HEALTH DEPARTMENT BUCHANAN GA
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 10 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
321 FP301145 CHEROKEE COUNTY HEALTH DEPARTMENT, DISTRICT 1-2 CANTON CANTON GA
322 FP301202 BARTOW COUNTY HEALTH DEPARTMENT, DISTRICT 1-1 CARTERSVILLE GA
323 FP301255 POLK COUNTY HEALTH DEPARTMENT CEDARTOWN GA
324 FP301257 PUTNAM COUNTY HEALTH DEPARTMENT EATONTON GA
325 FP301301 FORSYTH COUNTY HEALTH DEPARTMENT CUMMING GA
326 FP301327 PAULDING COUNTY HEALTH DEPARTMENT, DISTRICT 1-1 DALLAS GA
327 FP301346 DOUGLASVILLE HEALTH CENTER, DISTRICT 3-1 DOUGLASVILLE GA
328 FP301436 PICKENS COUNTY HEALTH DEPARTMENT JASPER GA
329 FP301539 POLK COUNTY HEALTH DEPARTMENT ROCKMART ROCKMART GA
330 FP301617 NORTHWEST GEORGIA HEALTH DISTRICT 1-1 ROME GA
331 FP301626 FLOYD COUNTY HEALTH DEPARTMENT ROME GA
332 FP301800 CARROLL COUNTY HEALTH DEPARTMENT CARROLLTON GA
333 FP301883 CHEROKEE COUNTY HEALTH DEPARTMENT WOODSTOCK WOODSTOCK GA
334 FP302047 LAMAR COUNTY HEALTH DEPARTMENT BARNESVILLE GA
335 FP302074 ROCKDALE COUNTY HEALTH DEPARTMENT CONYERS GA
336 FP302091 NEWTON COUNTY HEALTH DEPARTMENT COVINGTON GA
337 FP302146 FAYETTE COUNTY HEALTH DEPARTMENT FAYETTEVILLE GA
338 FP302174 HEARD COUNTY HEALTH DEPARTMENT FRANKLIN GA
339 FP302227 MERIWETHER COUNTY HEALTH DEPARTMENT GREENVILLE GA
340 FP302247 SPALDING COUNTY HEALTH DEPARTMENT GRIFFIN GA
341 FP302302 HOGANSVILLE HEALTH CENTER HOGANSVILLE GA
342 FP302336 BUTTS COUNTY HEALTH DEPARTMENT JACKSON GA
343 FP302401 DISTRICT FOUR HEALTH SERVICES LAGRANGE GA
344 FP302408 TROUP COUNTY HEALTH DEPARTMENT LAGRANGE GA
345 FP30260 CLAYTON COUNTY HEALTH DEPARTMENT, DISTRICT 3-3 JONESBORO GA
346 FP302632 COWETA COUNTY HEALTH DEPARTMENT NEWNAN GA
347 FP302819 HENRY COUNTY HEALTH DEPARTMENT MCDONOUGH GA
348 FP302869 UPSON COUNTY HEALTH DEPARTMENT THOMASTON GA
349 FP302950 PIKE COUNTY HEALTH DEPARTMENT ZEBULON GA
350 FP303031 Grady Health System GRADY TEEN SVCS ATLANTA GA
351 FP303035 FULTON COUNTY HEALTH DEPARTMENT CENTER FOR HEALTH AND REHABILITATION ATLANTA GA
352 FP303039 GRADY FP PROGRAM - ADULT GRADY HOSPITAL ATLANTA GA
353 FP303094 Georgia Department of Public Health Georgia Family Planning Program ATLANTA GA
354 FP303122 DUNBAR TEEN CENTER ATLANTA GA
355 FP303143 NEIGHBORHOOD UNION HEALTH CARE ATLANTA GA
356 FP303314 ADAMSVILLE HEALTH CENTER TEEN CENTER ATLANTA GA
357 FP303375 WILLIE J FREEMAN HEALTH CENTER TEEN CENTER - COLLEGE PARK COLLEGE PARK GA
358 FP304017 EMANUEL COUNTY HEALTH DEPARTMENT SWAINSBORO GA
359 FP304113 WHEELER COUNTY HEALTH DEPARTMENT ALAMO GA
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 11 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
360 FP304178 EVANS COUNTY HEALTH DEPARTMENT CLAXTON GA
361 FP304346 JEFFERSON COUNTY HEALTH DEPARTMENT LOUISVILLE GA
362 FP304361 TOOMBS COUNTY HEALTH DEPARTMENT LYONS GA
363 FP304392 CANDLER COUNTY HEALTH DEPARTMENT METTER GA
364 FP304424 JENKINS COUNTY HEALTH DEPARTMENT MILLEN GA
365 FP304457 MONTGOMERY COUNTY HEALTH DEPARTMENT MT VERNON GA
366 FP304531 TATTNALL COUNTY HEALTH DEPARTMENT REIDSVILLE REIDSVILLE GA
367 FP304576 TREUTLEN COUNTY HEALTH DEPARTMENT SOPERTON GA
368 FP304587 BULLOCH COUNTY HEALTH DEPARTMENT STATESBORO GA
369 FP304672 SCREVEN COUNTY HEALTH DEPARTMENT SYLVANIA GA
370 FP305031 DPH HEALTH DISTRICT 2 GAINESVILLE GA
371 FP305032 HALL COUNTY HEALTH DEPARTMENT GAINESVILLE GA
372 FP305123 UNION COUNTY HEALTH DEPARTMENT BLAIRSVILLE GA
373 FP305138 FANNIN COUNTY HEALTH DEPARTMENT, DISTRICT 1-2 BLUE RIDGE GA
374 FP305215 FRANKLIN COUNTY HEALTH DEPARTMENT CARNESVILLE GA
375 FP305254 RABUN COUNTY HEALTH DEPARTMENT CLAYTON GA
376 FP305285 WHITE COUNTY HEALTH DEPARTMENT CLEVELAND GA
377 FP305338 LUMPKIN COUNTY HEALTH DEPARTMENT DAHLONEGA GA
378 FP305349 DAWSON COUNTY HEALTH DEPARTMENT, DISTRICT 2 DAWSONVILLE GA
379 FP305359 HABERSHAM COUNTY HEALTH DEPARTMENT DEMOREST GA
380 FP305404 GILMER COUNTY HEALTH DEPARTMENT ELIJAY GA
381 FP305471 BANKS COUNTY HEALTH DEPARTMENT HOMER GA
382 FP305487 TOWNS COUNTY HEALTH DEPARTMENT YOUNG HARRIS GA
383 FP305772 STEPHENS COUNTY HEALTH DEPARTMENT TOCCOA GA
384 FP30605 NORTHEAST HEALTH DISTRICT-DISTRICT 10 ATHENS GA
385 FP306107 Northeast Health District - District 10 NORTHEAST HEALTH DISTRICT - Central Supply ATHENS GA
386 FP306291 JACKSON COUNTY HEALTH DEPARTMENT JEFFERSON HEALTH CLINIC JEFFERSON GA
387 FP306292 Jackson County Health Department Commerce Health Clinic COMMERCE GA
388 FP306313 TALIAFERRO COUNTY HEALTH DEPARTMENT CRAWFORDVILLE GA
389 FP306338 Madison County Health Department Danielsville Health Clinic Danielsville GA
390 FP306350 Elbert County Health Department ELBERTON GA
391 FP306422 Greene County Health Department Greensboro GA
392 FP306433 HART COUNTY HEALTH DEPARTMENT HARTWELL GA
393 FP306483 Oglethorpe County Health Department Lexington GA
394 FP306502 Morgan County Health Department MADISON GA
395 FP306554 Walton County Health Department MONROE GA
396 FP306738 WILKES COUNTY HEALTH DEPARTMENT WASHINGTON GA
397 FP306771 Oconee County Health Department Watkinsville GA
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 12 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
398 FP306809 Barrow County Health Department Winder GA
399 FP307017 GORDON COUNTY HEALTH DEPARTMENT CALHOUN GA
400 FP307054 MURRAY COUNTY HEALTH DEPARTMENT CHATSWORTH GA
401 FP307201 WHITFIELD COUNTY HEALTH DEPARTMENT WOMENS CLINIC DALTON GA
402 FP307202 DEPARTMENT OF PUBLIC HEALTH, DISTRICT 1-2 NORTH GEORGIA HEALTH DISTRICT DALTON GA
403 FP307289 WALKER COUNTY HEALTH DEPARTMENT LAFAYETTE GA
404 FP307363 CATOOSA COUNTY HEALTH DEPARTMENT, DISTRICT 1-1 RINGGOLD GA
405 FP307478 CHATTOOGA COUNTY HEALTH DEPARTMENT, DISTRICT 1-1 SUMMERVILLE GA
406 FP307527 DADE COUNTY HEALTH DEPARTMENT, DISTRICT 1-1 TRENTON GA
407 FP308024 COLUMBIA COUNTY HEALTH DEPARTMENT APPLING GROVETOWN GA
408 FP308105 GLASCOCK COUNTY HEALTH DEPARTMENT GIBSON GA
409 FP308174 LINCOLN COUNTY HEALTH DEPARTMENT LINCOLNTON GA
410 FP30824 MCDUFFIE COUNTY HEALTH DEPT. THOMSON GA
411 FP308241 RICHMOND COUNTY HEALTH DEPT. SOUTH AUGUSTA AUGUSTA GA
412 FP308287 WARREN COUNTY HEALTH DEPARTMENT WARRENTON GA
413 FP308302 BURKE COUNTY HEALTH DEPARTMENT WAYNESBORO GA
414 FP309108 RICHMOND COUNTY HEALTH DEPARTMENT AUGUSTA GA
415 FP309197 DEPARTMENT OF PUBLIC HEALTH-DISTRICT 6 AUGUSTA GA
416 FP310069 TAYLOR COUNTY HEALTH DEPARTMENT BUTLER GA
417 FP310143 BLECKLEY COUNTY HEALTH DEPARTMENT COCHRAN GA
418 FP310154 CRISP COUNTY HEALTH DEPARTMENT CORDELE GA
419 FP310212 LAURENS COUNTY HEALTH DEPARTMENT DUBLIN GA
420 FP310216 DEPARTMENT OF PUBLIC HEALTH DISTRICT 5-1 DUBLIN GA
421 FP310236 DODGE COUNTY HEALTH DEPARTMENT EASTMAN GA
422 FP310292 MONROE COUNTY HEALTH DEPARTMENT FORSYTH GA
423 FP310308 PEACH COUNTY HEALTH DEPARTMENT FORT VALLEY FORT VALLEY GA
424 FP310323 JONES COUNTY HEALTH DEPARMENT GRAY GA
425 FP310369 PULASKI COUNTY HEALTH DEPARTMENT HAWKINSVILLE GA
426 FP310420 WILKINSON COUNTY HEALTH DEPARTMENT IRWINTON IRWINTON GA
427 FP310443 TWIGGS COUNTY HEALTH DEPARTMENT JEFFERSONVILLE GA
428 FP310559 TELFAIR COUNTY HEALTH DEPARTMENT MCRAE GA
429 FP310614 BALDWIN COUNTY HEALTH DEPARTMENT MILLEDGEVILLE GA
430 FP310640 JASPER COUNTY HEALTH DEPARTMENT MONTICELLO GA
431 FP310686 MACON COUNTY HEALTH DEPARTMENT OGLETHORPE GA
432 FP310787 CRAWFORD COUNTY HEALTH DEPARTMENT ROBERTA GA
433 FP310799 WILCOX COUNTY HEALTH DEPARTMENT ROCHELLE GA
434 FP310823 WASHINGTON COUNTY HEALTH DEPARTMENT SANDERSVILLE GA
435 FP310872 HANCOCK COUNTY HEALTH DEPARTMENT SPARTA GA
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 13 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
436 FP310880 HOUSTON COUNTY HEALTH DEPARTMENT WARNER ROBINS WARNER ROBINS GA
437 FP310962 JOHNSON COUNTY HEALTH DEPARTMENT WRIGHTSVILLE GA
438 FP312014 DPH HEALTH DISTRICT 5-2 MACON GA
439 FP312015 BIBB COUNTY HEALTH DEPARTMENT MACON GA
440 FP313051 MCINTOSH COUNTY HEALTH DEPARTMENT TOWNSEND GA
441 FP313139 LIBERTY COUNTY HEALTH DEPARTMENT TEEN CENTER HINESVILLE GA
442 FP313164 LONG COUNTY HEALTH DEPARTMENT LUDOWICI GA
443 FP313210 BRYAN COUNTY HEALTH DEPARTMENT PEMBROKE FACILITY PEMBROKE GA
444 FP313245 BRYAN COUNTY HEALTH DEPARTMENT RICHMOND HILL CLINIC RICHMOND HILL GA
445 FP313295 EFFINGHAM COUNTY HEALTH DEPARTMENT SPRINGFIELD GA
446 FP314013 CHATHAM COUNTY HEALTH DEPT-MIDTOWN MIDTOWN GENERAL CLINIC SAVANNAH GA
447 FP314168 CHATHAM COUNTY HEALTH DEPARTMENT EISENHOWER FACILITY SAVANNAH GA
448 FP314169 DPH HEALTH DISTRICT 9-1 SAVANNAH GA
449 FP315014 WARE COUNTY HEALTH DEPARTMENT-DISTRICT 9-2 WAYCROSS GA
450 FP315016 DPH HEALTH DISTRICT 9-2 SOUTHEAST HEALTH DISTRICT 9-2 WAYCROSS GA
451 FP315104 BACON COUNTY HEALTH DEPARTMENT ALMA GA
452 FP315137 APPLING COUNTY HEALTH DEPARTMENT BAXLEY GA
453 FP315164 PIERCE COUNTY HEALTH DEPARTMENT BLACKSHEAR GA
454 FP315209 GLYNN COUNTY HEALTH DEPARTMENT BRUNSWICK GA
455 FP315329 HAHIRA CLINIC HAHIRA GA
456 FP315332 CHARLTON COUNTY HEALTH DEPARTMENT FOLKSTON GA
457 FP315337 COFFEE COUNTY HEALTH DEPARTMENT DOUGLAS GA
458 FP315397 JEFF DAVIS COUNTY HEALTH DEPARTMENT HAZLEHURST GA
459 FP315454 WAYNE COUNTY HEALTH DEPARTMENT JESUP GA
460 FP315536 BRANTLEY COUNTY HEALTH DEPARTMENT NAHUNTA GA
461 FP31558 CAMDEN COUNTY HEALTH DEPARTMENT ST. MARYS CLINIC SAINT MARYS GA
462 FP315699 CAMDEN COUNTY HEALTH DEPARTMENT WOODBINE CLINIC WOODBINE GA
463 FP316012 LOWNDES COUNTY HEALTH DEPARTMENT VALDOSTA GA
464 FP316014 DPH HEALTH DISTRICT 8-1 SOUTH HEALTH DISTRICT VALDOSTA GA
465 FP316208 COOKS COUNTY HEALTH DEPARTMENT ADEL GA
466 FP316342 CLINCH COUNTY HEALTH DEPARTMENT HOMERVILLE GA
467 FP316384 LAKE PARK CLINC LAKE PARK GA
468 FP316394 BERRIEN COUNTY HEALTH DEPARTMENT NASHVILLE GA
469 FP316431 BROOKS COUNTY HEALTH DEPARTMENT QUITMAN GA
470 FP316483 ECHOLS COUNTY HEALTH DEPARTMENT STATENSVILLE GA
471 FP317029 DPH HEALTH DISTRICT 8-2 WOMEN'S HEALTH PROGRAM ALBANY GA
472 FP317083 DPH HEALTH DISTRICT 8-2 ALBANY GA
473 FP317092 GEORGIA SOUTHWESTERN STATE UNIVERSITY HERSCHEL SMITH HEALTH CENTER AMERICUS GA
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 14 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
474 FP317097 SUMTER COUNTY HEALTH DEPARTMENT AMERICUS GA
475 FP317142 TURNER COUNTY HEALTH DEPARTMENT ASHBURN GA
476 FP317170 DECATUR COUNTY HEALTH DEPARTMENT BAINBRIDGE GA
477 FP317236 EARLY COUNTY HEALTH DEPARTMENT BLAKELY GA
478 FP317283 GRADY COUNTY HEALTH DEPARTMENT CAIRO GA
479 FP317303 MITCHELL COUNTY HEALTH DEPARTMENT CAMILLA GA
480 FP317370 MILLER COUNTY HEALTH DEPARTMENT COLQUITT GA
481 FP317406 RANDOLPH COUNTY HEALTH DEPARTMENT CUTHBERT GA
482 FP317424 TERRELL COUNTY HEALTH DEPARTMENT DAWSON GA
483 FP317455 SEMINOLE COUNTY HEALTH DEPARTMENT DONALSONVILLE GA
484 FP317503 BEN HILL COUNTY HEALTH DEPARTMENT FITZGERALD GA
485 FP317541 QUITMAN COUNTY HEALTH DEPARTMENT GEORGETOWN GA
486 FP317636 LEE COUNTY HEALTH DEPARTMENT LEESBURG GA
487 FP317706 BAKER COUNTY HEALTH DEPARTMENT NEWTON GA
488 FP317743 IRWIN COUNTY HEALTH DEPARTMENT OCILLA GA
489 FP317764 COLQUITT COUNTY HEALTH DEPARTMENT MOULTRIE GA
490 FP317910 WORTH COUNTY HEALTH DEPARTMENT SYLVESTER GA
491 FP317925 THOMAS COUNTY HEALTH DEPARTMENT THOMASVILLE GA
492 FP317945 TIFT COUNTY HEALTH DEPARTMENT TIFTON GA
493 FP318036 MARION COUNTY HEALTH DEPARTMENT BUENA VISTA GA
494 FP318054 CHATTAHOOCHEE COUNTY HEALTH DEPARTMENT CUSSETTA GA
495 FP318065 SCHLEY COUNTY HEALTH DEPARTMENT ELLAVILLE GA
496 FP318119 HARRIS COUNTY HEALTH DEPARTMENT HAMILTON GA
497 FP318154 STEWART COUNTY HEALTH DEPARTMENT LUMPKIN GA
498 FP318163 MANCHESTER HEALTH CENTER MANCHESTER GA
499 FP318275 TALBOT COUNTY HEALTH DEPARTMENT TALBOTTON GA
500 FP318339 WEST POINT HEALTH DEPT WEST POINT GA
501 FP318357 LANIER COUNTY HEALTH DEPARTMENT Lakeland GA
502 FP319022 DPH HEALTH DISTRICT 7 WEST CENTRAL HEALTH DISTRICT - TEEN CENTER COLUMBUS GA
503 FP319026 COLUMBUS STATE UNIVERSITY HEALTH AND SAFETY BUILDING COLUMBUS GA
504 FP338814 POLK COUNTY HEALTH DEPARTMENT BARTOW FAMILY PLANNING CLINIC BARTOW FL
PLANNED PARENTHOOD OF THE HEARTLAND CRESTON
505 FP508018 PLANNED PARENTHOOD OF THE HEARTLAND Center CRESTON IA
PLANNED PARENTHOOD OF THE HEARTLAND RED OAK
506 FP515667 PLANNED PARENTHOOD OF THE HEARTLAND Center RED OAK IA
507 FP652651 NORTHEAST COMMUNITY ACTION CORP AUDRAIN COUNTY HEALTH DEPARTMENT MEXICO MO
508 FP664514 OSAGE COUNTY HEALTH DEPARTMENT LYNDON KS
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 15 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
509 FP833034 SOUTH CENTRAL PUBLIC HEALTH DISTRICT FAMILY PLANNING PROGRAM TWIN FALLS ID
510 FP897012 PLANNED PARENTHOOD MAR MONTE CARSON CITY HEALTH CENTER CARSON CITY NV
511 FP955012 SIX RIVERS PLANNED PARENTHOOD EUREKA CA
512 FP995196 MUNICIPALITY OF ANCHORAGE DHHS REPRODUCTIVE HEALTH CLINIC ANCHORAGE AK
513 FQHCLA119E COMMUNITY CLINICAL SERVICES, INC. Family Behavioral Health Center Lewiston ME
514 FQHCLA205 ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT, INC. SAN JOSE CA
515 FQHCLA253 PRIMARY CARE OF SOUTHWEST GEORGIA, INC. PCSG - Thomasville Thomasville GA
516 HV00791A TARZANA TREATMENT CENTERS INC NORTHRIDGE CA
517 HV04384 HOWARD UNIVERSITY HOSPITAL COMPREHENSIVE CLINIC HOWARD UNIVERSITY HOSPITAL TOWERS WASHINGTON DC
518 PED453300-34 COOK CHILDREN'S MEDICAL CENTER Southlake Urgent Care Center Southlake TX
519 RRC040062-00 Mercy Hospital Fort Smith Fort Smith AR
520 RRC070007-00 Lawrence & Memorial Hospital New London CT
521 RRC070007-01 Lawrence & Memorial Hospital L+M Crossroads Mamo-Breast Imaging Waterford CT
522 RRC070007-02 Lawrence & Memorial Hospital L+M Pequot Mamo-Breast Imaging Groton CT
523 RRC070007-03 Lawrence & Memorial Hospital L+M Crossroads MRI Services Waterford CT
524 RRC070007-04 Lawrence & Memorial Hospital L+M Pequot MRI Services Groton CT
525 RRC070007-05 Lawrence & Memorial Hospital L+M Crossroads Cardiology Services Waterford CT
526 RRC070007-06 Lawrence & Memorial Hospital L+M Sleep Center Groton CT
527 RRC070007-07 Lawrence & Memorial Hospital L+M Wound & Hyperbaric Center Waterford CT
528 RRC070007-08 Lawrence & Memorial Hospital L+M Waterfall Therapy Services Waterford CT
529 RRC070007-09 Lawrence & Memorial Hospital L+M Mystic Outpatient Services Mystic CT
530 RRC070007-10 Lawrence & Memorial Hospital L+M Crossroads Radiology Services Waterford CT
531 RRC070007-11 Lawrence & Memorial Hospital L+M Stonnington Radiology Services Pawcatuck CT
532 RRC070007-12 Lawrence & Memorial Hospital L+M Flanders Therapy Services East Lyme CT
533 RRC070007-13 Lawrence & Memorial Hospital L+M Pequot Therapy Services Groton CT
534 RRC070007-14 Lawrence & Memorial Hospital L+M Pequot Radiology Services Groton CT
535 RRC070007-15 Lawrence & Memorial Hospital L+M Pequot Urgent Care Center Groton CT
536 RRC070007-16 Lawrence & Memorial Hospital L+M Pequot ASC Groton CT
537 RRC070007-17 Lawrence & Memorial Hospital L+M Cancer Center Waterford CT
538 RRC130049-00 KOOTENAI MEDICAL CENTER Coeur d'Alene ID
539 RRC130049-01 KOOTENAI MEDICAL CENTER KOOTENAI CANCER CENTER-COEUR D' ALENE COEUR D'ALENE ID
540 RRC130049-02 KOOTENAI MEDICAL CENTER KOOTENAI CANCER CENTER-POST FALLS POST FALLS ID
541 RRC130049-03 KOOTENAI MEDICAL CENTER KOOTENAI CANCER CENTER AT BONNER GENERAL SANDPOINT ID
542 RRC130049-04 KOOTENAI MEDICAL CENTER Kaniksu Street Clinic Bonners Ferry ID
543 RRC130049-05 KOOTENAI MEDICAL CENTER Ironwood Drive Clinic Coeur d'Alene ID
544 RRC130049-06 KOOTENAI MEDICAL CENTER Mullan Clinic Post Falls ID
545 RRC130049-07 KOOTENAI MEDICAL CENTER Third Avenue Clinic Sandpoint ID
546 RRC130049-08 KOOTENAI MEDICAL CENTER Second Avenue Clinic Sandpoint ID
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 16 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
547 RRC130049-09 KOOTENAI MEDICAL CENTER Lincoln Way Clinic Coeur d'Alene ID
548 RRC130049-10 KOOTENAI MEDICAL CENTER Prairie Avenue Clinic Coeur d'Alene ID
549 RRC130049-11 KOOTENAI MEDICAL CENTER Post Falls Clinic Post Falls ID
550 RRC130049-12 KOOTENAI MEDICAL CENTER Rathdrum Clinic Rathdrum ID
551 RRC230080-20 Central Michigan Community Hospital D/B/A McLaren Central Michigan Benjamin Debelak DO Clinic Mount Pleasant MI
552 RRC230080-22 Central Michigan Community Hospital D/B/A McLaren Central Michigan David Gustavison DO MPH Clinic Alma MI
553 RRC230080-23 Central Michigan Community Hospital D/B/A McLaren Central Michigan Kayla George PA-C Clinic Alma MI
554 RRC230080-26 Central Michigan Community Hospital D/B/A McLaren Central Michigan Faris Atchoo DO Clinic Mount Pleasant MI
555 RRC340115-14 FIRSTHEALTH MOORE REGIONAL HOSPITAL RMH Obstetrics ROCKINGHAM NC
556 RRC380027-05 MERCY MEDICAL CENTER MERCY MEDICAL CENTER - HOSPICE SERVICES ROSEBURG OR
557 RRC510047-00 Fairmont General Hospital, Inc. Fairmont WV
Department of Medicine - Fairmont Infectious Disease
558 RRC510047-01 Fairmont General Hospital, Inc. Center Fairmont WV
Department of Medicine Fairmont Rheumatology
559 RRC510047-02 Fairmont General Hospital, Inc. Center Fairmont WV
Department of Orthopedics - Fairmont Orthopedics
560 RRC510047-03 Fairmont General Hospital, Inc. Center Fairmont WV
Department of Obstetrics and Gynecology - Women's
561 RRC510047-04 Fairmont General Hospital, Inc. Health and Wellness Center Fairmont WV
562 RRC510047-05 Fairmont General Hospital, Inc. Department of Urology - Fairmont Urology Center Fairmont WV
Department of Internal Medicine - Country Club Road
563 RRC510047-06 Fairmont General Hospital, Inc. Clinic Fairmont WV
564 RRC510047-07 Fairmont General Hospital, Inc. Department of Gastroenterology - Fairmont GI Center Fairmont WV
565 RRC510047-08 Fairmont General Hospital, Inc. Department of Family Medicine - Fairmont South Clinic Fairmont WV
566 RRC510047-09 Fairmont General Hospital, Inc. Department of Family Medicine - Fairmont East Clinic Fairmont WV
567 RWI00717 CENTRO ARARAT, INC. Hope Clinic PONCE PR
Center for Infectious Disease Management and
568 RWI20060 Howard University Research Washington DC
569 RWI91325 TARZANA TREATMENT CENTERS, INC. HIV CLINIC NORTHRIDGE CA
570 SCH010102-00 J Paul Jones Hospital Camden AL
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 17 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
SOUTH LAKE
571 SCH050352-00 BARTON MEMORIAL HOSPITAL TAHOE CA
572 SCH050352-01 BARTON MEMORIAL HOSPITAL Barton Community Health Center South Lake Tahoe CA
573 SCH060023-00 ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. GRAND JUNCTION CO
574 SCH060023-01 ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. PAVILION IMAGING GRAND JUNCTION CO
575 SCH060023-02 ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. ST. MARY'S REGIONAL CANCER CENTER GRAND JUNCTION CO
576 SCH060023-03 ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. ST. MARY'S LIFE CENTER GRAND JUNCTION CO
577 SCH060023-04 ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. ST. MARY'S NEPHROLOGY CLINIC GRAND JUNCTION CO
578 SCH060023-05 ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. ST. MARY'S DIABETES EDUCATION GRAND JUNCTION CO
579 SCH170023-03 ST. CATHERINE HOSPITAL Cancer Center Garden City KS
580 SCH230100-03 St. Joseph Health System Great Lakes Practice Oscoda MI
581 SCH230108-00 PORTAGE HEALTH INC. HANCOCK MI
582 SCH260186-00 Lake Regional Health System Osage Beach MO
583 SCH270012-02 BENEFIS HOSPITALS, INC. BENEFIS DIALYSIS CENTER GREAT FALLS MT
584 SCH270012-16 BENEFIS HOSPITALS, INC. Benefis Medical Group, Family Practice West Great Falls MT
585 SCH330079-00 Adirondack Medical Center Saranac Lake NY
586 SCH330079-01 Adirondack Medical Center Wound & Hyperbaric Treatment Center Saranac Lake NY
587 SCH330079-02 Adirondack Medical Center Tupper Lake Health Center Tupper Lake NY
588 SCH330079-03 Adirondack Medical Center Tupper Lake Dialysis Tupper Lake NY
589 SCH330079-04 Adirondack Medical Center Lake Placid Dental Clinic Lake Placid NY
590 SCH330079-05 Adirondack Medical Center Mountain Health Center Keene NY
591 SCH330079-06 Adirondack Medical Center Lake Placid Health Center Lake Placid NY
592 SCH330213-00 LEWIS COUNTY GENERAL HOSPITAL LOWVILLE NY
593 SCH330213-01 LEWIS COUNTY GENERAL HOSPITAL LEWIS COUNTY RESIDENTIAL HEALTHCARE FACILITY LOWVILLE NY
594 SCH330218-01 Oswego Hospital Mexico Health Center Mexico NY
595 SCH330218-02 Oswego Hospital Parish Health Center Parish NY
596 SCH330218-03 Oswego Hospital Phoenix Health Center Phoenix NY
597 SCH330250-00 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER PLATTSBURGH NY
598 SCH330263-00 CARTHAGE AREA HOSPITAL, INC. CARTHAGE NY
599 SCH330263-01 CARTHAGE AREA HOSPITAL, INC. WOMEN'S WAY TO WELLNESS CARTHAGE NY
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 18 of 19
340B Covered Entity Terminations List
Effective 10/01/2014 (626 total entities listed)
Row 340B ID Entity Name Entity Sub-Division Name City
te
at
Num S
600 SCH330263-02 CARTHAGE AREA HOSPITAL, INC. Carthage Behavioral Health Clinic CARTHAGE NY
601 SCH330263-03 CARTHAGE AREA HOSPITAL, INC. Carthage Therapy Services CARTHAGE NY
602 SCH330263-04 CARTHAGE AREA HOSPITAL, INC. Carthage Surgery Center CARTHAGE NY
603 SCH330263-06 CARTHAGE AREA HOSPITAL, INC. TRI-COUNTY ORTHOPEDIC CENTER CARTHAGE NY
604 SCH330263-07 CARTHAGE AREA HOSPITAL, INC. Carthage Dental Center CARTHAGE NY
605 SCH330263-08 CARTHAGE AREA HOSPITAL, INC. PHILADELPHIA PHYSICAL THERAPY PHILADELPHIA NY
606 SCH330263-09 CARTHAGE AREA HOSPITAL, INC. ADAMS FAMILY HEALTH CENTER ADAMS NY
607 SCH330263-11 CARTHAGE AREA HOSPITAL, INC. EVANS MILLS FAMILY HEALTH CENTER EVANS MILLS NY
608 SCH330263-14 CARTHAGE AREA HOSPITAL, INC. ADAMS PHYSICAL THERAPY CENTER ADAMS NY
609 SCH330263-15 CARTHAGE AREA HOSPITAL, INC. CARTHAGE HIGH SCHOOL-BASED CLINIC CARTHAGE NY
610 SCH330263-16 CARTHAGE AREA HOSPITAL, INC. CARTHAGE MIDDLE SCHOOL-BASED CLINIC CARTHAGE NY
611 SCH330263-19 CARTHAGE AREA HOSPITAL, INC. BEAVER RIVER SCHOOL-BASED CLINIC BEAVER FALLS NY
612 SCH330263-21 Carthage Area Hospital, Inc. Carthage Medical Center Carthage NY
613 SCH360109-02 Coshocton County Memorial Hospital Coshocton Hospital Womens Care Clinic Coshocton OH
614 SCH360109-09 Coshocton County Memorial Hospital Coshocton Hospital ENT Clinic Coshocton OH
615 SCH360109-11 Coshocton County Memorial Hospital Coshocton Hospital Urology Clinic Coshocton OH
616 SCH360109-12 Coshocton County Memorial Hospital Coshocton Hospital Surgical Clinic Coshocton OH
617 SCH360197-09 MARY RUTAN HOSPITAL MADRIVER FAMILY PRACTICE WEST LIBERTY OH
618 SCH430015-00 Avera St. Mary's Hospital Pierre SD
619 SCH430015-01 Avera St. Mary's Hospital Avera Medical Clinic Pierre Pierre SD
620 SCH430015-02 Avera St. Mary's Hospital Avera St. Mary Pierre Clinic. PIERRE SD
621 SCH470001-01 CENTRAL VERMONT MEDICAL CENTER ASSOCIATES IN FAMILY HEALTH BARRE VT
622 SCH470001-10 CENTRAL VERMONT MEDICAL CENTER MOUNTAINVIEW UROLOGY BERLIN VT
SC DHEC Midlands Richland Co The Point at Eau Claire
623 STD292031 SC DHEC Midlands Region Richland Co The Point at Eau Claire STD Health Dept STD Columbia SC
624 STD315202 ELLIS CLINIC GLYNN COUNTY HEALTH DEPT BRUNSWICK GA
625 STD95501 SIX RIVERS PLANNED PARENTHOOD EUREKA CA
626 TB31201 BIBB COUNTY HEALTH DEPARTMENT TB CLINIC MACON GA
This list may not include all terminations due to individual extenuating circumstances
Please review the entity record in the 340B program database for additional termination details
Page 19 of 19
