Covered Entity Details

CAH451309-01 McCamey County Hospital District (Approved) - information as of 5/30/2025 8:15:44 PM

Main Details

Name

McCamey County Hospital District

Subdivision Name

McCamey Hospital RHC - Primary Care Clinic

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH451309-01

Medicare Provider Number

451309

Outpatient Facility Provider Number

458681

Additional Details

Current Program Status

Approved

Registration Date

4/1/2025

Participating Start Date

7/1/2025

Participating Approval Date

4/2/2025

Last Recertification Date

Contacts

Authorizing Official

McCamey County Hospital District
Jason Jerry Menefee, CEO
(432) 652-8626 Ext: 278

Primary Contact

McCamey County Hospital District
Jaime Ramirez, NH Administrator
(432) 652-8626 Ext: 218

Addresses

Street Address

2500 Highway 305 South
McCamey, TX 79752

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAH451309-01	Child	CAH	McCamey County Hospital District	McCamey Hospital RHC - Primary Care Clinic	2500 Highway 305 South	McCamey	TX	Approved

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Signed By	Insert	New Registration		Menefee, Jason Jerry CEO McCamey County Hospital District 4326528626-278	4/2/2025 9:00 AM
Details	340B ID	Update	New Registration		CAH451309-01	4/2/2025 9:00 AM
Details	Entity Name	Update	New Registration	MCCAMEY COUNTY HOSPITAL DISTRICT	McCamey County Hospital District	4/2/2025 9:00 AM
Details	Entity Subname	Update	New Registration	McCamey Hospital RHC	McCamey Hospital RHC - Primary Care Clinic	4/2/2025 9:00 AM
Dates	Participating Approval Date	Update	New Registration		4/2/2025 9:00:42 AM	4/2/2025 9:00 AM
Details	State	Update	New Registration	Pending	Approved	4/2/2025 9:00 AM
Dates	Signed By Date	Update	New Registration		4/1/2025 10:21:32 AM	4/2/2025 9:00 AM
Dates	Start Date	Update	New Registration		7/1/2025 12:00:00 AM	4/2/2025 9:00 AM
Addresses	Main Address	Insert	New Registration		2500 Highway 305 South McCamey, TX 79752	4/1/2025 10:21 AM
Contacts	Authorizing Official	Insert	New Registration		Menefee, Jason Jerry CEO McCamey County Hospital District 4326528626-278	4/1/2025 10:21 AM
Contacts	Primary Contact	Insert	New Registration		Ramirez, Jaime NH Administrator McCamey County Hospital District 4326528626-218	4/1/2025 10:21 AM
Details	Assistance Received From Date	Insert	New Registration			4/1/2025 10:21 AM
Details	Assistance Received To Date	Insert	New Registration			4/1/2025 10:21 AM
Details	Last Recertification Date	Insert	New Registration			4/1/2025 10:21 AM
Details	Grant Number	Insert	New Registration			4/1/2025 10:21 AM
Details	340B ID	Insert	New Registration			4/1/2025 10:21 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/1/2025 10:21 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/1/2025 10:21 AM
Details	Medicare Provider Number	Insert	New Registration		451309	4/1/2025 10:21 AM
Details	Entity Name	Insert	New Registration		MCCAMEY COUNTY HOSPITAL DISTRICT	4/1/2025 10:21 AM
Details	NOFO Number	Insert	New Registration			4/1/2025 10:21 AM
Details	Program Code	Insert	New Registration		CAH	4/1/2025 10:21 AM
Details	Entity Subname	Insert	New Registration		McCamey Hospital RHC	4/1/2025 10:21 AM
Dates	Participating Approval Date	Insert	New Registration			4/1/2025 10:21 AM
Details	State	Insert	New Registration		Pending	4/1/2025 10:21 AM
Dates	Registration Date	Insert	New Registration		4/1/2025 10:21:31 AM	4/1/2025 10:21 AM
Dates	Signed By Date	Insert	New Registration			4/1/2025 10:21 AM
Dates	Start Date	Insert	New Registration			4/1/2025 10:21 AM
Terminations	Termination Comments	Insert	New Registration			4/1/2025 10:21 AM
Terminations	Termination Date	Insert	New Registration			4/1/2025 10:21 AM
Terminations	Termination Effective Date	Insert	New Registration			4/1/2025 10:21 AM
Terminations	Termination Reason	Insert	New Registration			4/1/2025 10:21 AM