340B Drug Pricing Program Database


DSH340099 East Carolina Health d/b/a ECU Health Roanoke-Chowan Hospital (Active) - information as of 4/27/2025 12:53:51 AM

Main Details
East Carolina Health d/b/a ECU Health Roanoke-Chowan Hospital
Disproportionate Share Hospital
Yes
DSH340099
340099


Additional Details
Active
7/1/2005
7/1/2005
6/1/2005
9/6/2024

Contacts

ECU Health Roanoke Chowan Hospital
brian Jeffrey Harvill, President
(252) 482-6268

ECU Health
Kelly Morgan Sexton, Pharmacy Manager
(252) 209-3141

Addresses

500 SOUTH ACADEMY ST
AHOSKIE, NC 27910

ECU Health Accounts Payable
PO Box 6028
Greenville, NC 27835-6028


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
NC 1467441394,1043218944,1598272379,1285198283,1780359687
AZ 1467441394
FL 1467441394
GA 1467441394
MD 1467441394
NJ 1467441394
NY 1467441394
SC 1467441394
VA 1467441394
WV 1467441394
MI 1467441394
OH 1467441394
AR 1043218944,1780359687
MO 1467441394
TX 1467441394
DC 1467441394
IN 1467441394
MA 1467441394
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/13/202301/01/2024  01/01/2024
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201010/13/202301/01/2024  01/01/2024
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/13/202301/01/2024  01/01/2024
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/13/202301/01/2024  01/01/2024
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607510/13/202301/01/2024  01/01/2024
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349210/13/202301/01/2024  01/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526110/12/201801/01/2019  01/01/2019
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771304/10/202007/01/2020  07/01/2020
Contract DetailDDP PHARMACYDBA DRUGCO DISCOUNT PHARMACY 107 SMITH CHURCH RD
ROANOKE RAPIDSNC2787010/19/201801/01/2019  01/01/2019
Contract DetailDOGWOOD PHARMACY, INCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER ROAD
SUITE K 		GREENVILLESC29607-654010/12/201801/01/2019  01/01/2019
Contract DetailDRUGCO DISCOUNT PHARMACY312 ACADEMY ST S
AHOSKIENC27910-320010/19/201801/01/2019  01/01/2019
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111210/13/202301/01/2024  01/01/2024
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313410/13/202301/01/2024  01/01/2024
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607510/13/202301/01/2024  01/01/2024
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801610/13/202301/01/2024  01/01/2024
Contract DetailGENOA HEALTHCARE LLC2 WALL ST STE 3B
MANCHESTERNH0310110/13/202301/01/2024  01/01/2024
Contract DetailGENOA HEALTHCARE LLC835 JOHNS HOPKINS DR STE D
GREENVILLENC2783410/13/202301/01/2024  01/01/2024
Contract DetailGENOA HEALTHCARE LLC109 W BECKER DR
ROANOKE RAPIDSNC2787010/13/202301/01/2024  01/01/2024
Contract DetailNORTH CAROLINA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07324 420 W. MAIN ST.
MURFREESBORONC2785510/13/202301/01/2024  01/01/2024
Contract DetailOPTUM PHARMACY 700, LLC5700 DOT COM CT, STE 1000
OVIEDOFL3276510/13/202301/01/2024  01/01/2024
Contract DetailOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850710/13/202301/01/2024  01/01/2024
Contract DetailOPTUM PHARMACY 701, LLC8131 W BOSTIAN RD STE A350
WOODINVILLEWA98072-502910/13/202301/01/2024  01/01/2024
Contract DetailOPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302510/13/202301/01/2024  01/01/2024
Contract DetailOPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520410/14/202401/01/2025  01/01/2025
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713010/13/202301/01/2024  01/01/2024
Contract DetailOPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824910/13/202301/01/2024  01/01/2024
Contract DetailOPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729810/13/202301/01/2024  01/01/2024
Contract DetailOPTUM PHARMACY 705, LLC3539 BLUECUTT RD
COLUMBUSMS3970510/13/202301/01/2024  01/01/2024
Contract DetailOPTUM PHARMACY 705, LLC1893 GENERAL GEORGE PATTON DR STE 106
FRANKLINTN37067-265510/13/202301/01/2024  01/01/2024
Contract DetailOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508510/13/202301/01/2024  01/01/2024
Contract DetailOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983810/13/202301/01/2024  01/01/2024
Contract DetailPITT COUNTY MEMORIAL HOSPITALD/B/A ECU HEALTH SPECIALTY PHARMACY 2100 STANTONSBURG RD RM 1CC-1105
GREENVILLENC2783410/13/202201/01/2023 09/30/202310/13/2023
Contract DetailRAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255010/12/201801/01/2019  01/01/2019
Contract DetailRIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500210/12/201801/01/2019  01/01/2019
Contract DetailUHS EMPLOYEE PHARMACYD/B/A ECU HEALTH EMPLOYEE PHARMACY 2000 VENTURE TOWER DR
P O BOX 6028 		GREENVILLENC2783404/19/202307/01/2023  07/01/2023
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738601/15/202104/01/2021  04/01/2021
Contract DetailWAL-MART PHARMACY #10-1527101 TANGLEWOOD PKWY
ELIZABETH CITYNC2790904/16/201807/01/2018 11/01/202001/21/2021
Contract DetailWAL-MART PHARMACY 10-1354570 PAMLICO PLAZA
WASHINGTONNC2788904/16/201807/01/2018 11/01/202001/21/2021
Contract DetailWAL-MART PHARMACY 10-1379210 GREENVILLE BLVD., S.W.
GREENVILLENC2783404/16/201807/01/2018 11/01/202001/21/2021
Contract DetailWAL-MART PHARMACY 10-16411529 WASHINGTON ST
WILLIAMSTONNC2789204/16/201807/01/2018 11/01/202001/21/2021
Contract DetailWAL-MART PHARMACY 10-19502150 US 13 SOUTH
AHOSKIENC2791004/16/201807/01/2018  04/16/2018
Contract DetailWAL-MART PHARMACY 10-2730110 RIVER OAKS DRIVE
TARBORONC2788604/16/201807/01/2018 11/01/202001/21/2021
Contract DetailWAL-MART PHARMACY 10-58514600 E. 10TH STREET
GREENVILLENC2785804/16/201807/01/2018 11/01/202001/21/2021
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283701/15/202104/01/2021  04/01/2021
Contract DetailWALGREEN CO.DBA: WALGREENS #15251 700 CATHERINE CREEK RD. S
AHOSKIENC27910-390610/16/201901/01/2020  01/01/2020
Contract DetailWalgreens #21420Walgreens Central Fill #21420 8440 Times Dispatch Blvd
Ste. 400 		MechanicsvilleVA2311607/17/202310/01/2023  10/01/2023
Contract DetailWALGREENS MAIL SERVICE, LLCWALGREENS MAIL SERVICE #03397 8350 S RIVER PARKWAY
TEMPEAZ8528410/16/201901/01/2020  01/01/2020
Contract DetailWALGREENS.COM, INC.DBA: WALGREENS 2225 S. PRICE ROAD
CHANDLERAZ8528610/16/201901/01/2020  01/01/2020
Contract DetailWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275601/16/202404/01/2024  04/01/2024
Contract DetailWALMART PHARMACY 10-72222830 GATEWAY DRIVE
GREENVILLENC2783404/16/201807/01/2018 11/01/202001/21/2021
Contract DetailWALMART PHARMACY 10-72353801 S MEMORIAL DRIVE
WINTERVILLENC2859004/16/201807/01/2018 11/01/202001/21/2021
Contract DetailWALMART PHARMACY 10-73371826 E. ARLINGTON BLVD
GREENVILLENC2785804/16/201807/01/2018 11/01/202001/21/2021
Contract DetailWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/16/202404/01/2024  04/01/2024
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH340099AChildDSHEast Carolina Health d/b/a ECU Health Roanoke-Chowan HospitalOutpatient Clinic (PT)604 South Academy StAhoskieNCActive
DSH340099BChildDSHEast Carolina Health d/b/a ECU Health Roanoke-Chowan HospitalECU Health Roanoke-Chowan Wound Center608 South Academy StAhoskieNCActive
DSH340099CChildDSHEast Carolina Health d/b/a ECU Health Roanoke-Chowan HospitalPain Management Anesthesiology Services606 A South Academy StAhoskieNCActive
DSH340099DChildDSHEast Carolina Health d/b/a ECU Health Roanoke-Chowan HospitalSLEEP CENTER AT ECU HEALTH ROANOKE - Sleep1014 JERSEY STAHOSKIENCActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsAuthorizing OfficialUpdateChange RequestAlford, Charles Vice President, Financial Services East Carolina Health-Heritage, Inc., d/b/a ECU Health Edgecombe Hospital 2526417131Harvill, brian Jeffrey President ECU Health Roanoke Chowan Hospital 25248262681/6/2025 10:53 AM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/6/2024 7:54 AM
Medicaid BillingNPI: StateInsertRecertification MO9/6/2024 7:54 AM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/6/2024 7:54 AM
Medicaid BillingNPI: StateInsertRecertification TX9/6/2024 7:54 AM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/6/2024 7:54 AM
Medicaid BillingNPI: StateInsertRecertification DC9/6/2024 7:54 AM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/6/2024 7:54 AM
Medicaid BillingNPI: StateInsertRecertification IN9/6/2024 7:54 AM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/6/2024 7:54 AM
Medicaid BillingNPI: StateInsertRecertification MA9/6/2024 7:54 AM
DetailsLast Recertification DateUpdateRecertification8/26/2023 1:43:06 PM9/6/2024 7:54:25 AM9/6/2024 7:54 AM
DetailsLast Recertification DateUpdateRecertification9/8/2022 8:22:20 AM8/26/2023 1:43:06 PM8/26/2023 1:43 PM
ContactsPrimary ContactUpdateChange RequestSexton, Kelly Morgan Pharmacy Manager ECU Health Roanoke-Chowan Hospital 2522093143Sexton, Kelly Morgan Pharmacy Manager ECU Health 25220931416/5/2023 7:37 AM
ContactsAuthorizing OfficialUpdateAO Change RequestAlford, Charles VP - Financial Services ECU Health 2526417131Alford, Charles Vice President, Financial Services East Carolina Health-Heritage, Inc., d/b/a ECU Health Edgecombe Hospital 25264171314/3/2023 6:54 AM
AddressesBilling AddressUpdateRecertificationVidant Health Accounts Payable PO Box 6028 Greenville, NC 27835-6028ECU Health Accounts Payable PO Box 6028 Greenville, NC 27835-60289/8/2022 8:22 AM
DetailsLast Recertification DateUpdateRecertification8/31/2021 3:28:36 PM9/8/2022 8:22:20 AM9/8/2022 8:22 AM
DetailsEntity NameUpdateRecertificationEast Carolina Health d/b/a Vidant Roanoke-Chowan HospitalEast Carolina Health d/b/a ECU Health Roanoke-Chowan Hospital9/8/2022 8:22 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestAlford, Charles VP - Financial Services Vidant Health 2526417131Alford, Charles VP - Financial Services ECU Health 25264171317/29/2022 12:40 PM
ContactsPrimary ContactUpdateGroup Change RequestBeasley, Eula Daniel Pharmacy Manager Vidant Roanoke Chowan Hospital 2522093141Sexton, Kelly Morgan Pharmacy Manager ECU Health Roanoke-Chowan Hospital 25220931437/29/2022 11:19 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 104321894412/15/2021 9:50 AM
Medicaid BillingNPI: StateInsertGroup Change Request NC12/15/2021 9:50 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 159827237912/15/2021 9:50 AM
Medicaid BillingNPI: StateInsertGroup Change Request NC12/15/2021 9:50 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 128519828312/15/2021 9:50 AM
Medicaid BillingNPI: StateInsertGroup Change Request NC12/15/2021 9:50 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 178035968712/15/2021 9:50 AM
Medicaid BillingNPI: StateInsertGroup Change Request NC12/15/2021 9:50 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 104321894412/15/2021 9:50 AM
Medicaid BillingNPI: StateInsertGroup Change Request AR12/15/2021 9:50 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 178035968712/15/2021 9:50 AM
Medicaid BillingNPI: StateInsertGroup Change Request AR12/15/2021 9:50 AM
DetailsLast Recertification DateUpdateRecertification9/7/2020 3:12:36 PM8/31/2021 3:28:36 PM8/31/2021 3:28 PM
Medicaid BillingNPI: NumberInsertChange Request 14674413946/15/2021 3:07 PM
Medicaid BillingNPI: StateInsertChange Request MI6/15/2021 3:07 PM
Medicaid BillingNPI: NumberInsertChange Request 14674413946/15/2021 3:07 PM
Medicaid BillingNPI: StateInsertChange Request OH6/15/2021 3:07 PM
Medicaid BillingMedicaid: NumberDeleteRecertification340099 (NC) 9/7/2020 3:12 PM
Medicaid BillingNPI: NumberDeleteRecertification1467441394 ( ) 9/7/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/7/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification NC9/7/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/7/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification AZ9/7/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/7/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification FL9/7/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/7/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification GA9/7/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/7/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification MD9/7/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/7/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification NJ9/7/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/7/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification NY9/7/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/7/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification SC9/7/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/7/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification VA9/7/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 14674413949/7/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification WV9/7/2020 3:12 PM
DetailsLast Recertification DateUpdateRecertification9/15/2019 1:39:02 PM9/7/2020 3:12:36 PM9/7/2020 3:12 PM
DetailsLast Recertification DateUpdateRecertification8/29/2018 2:43:39 PM9/15/2019 1:39:02 PM9/15/2019 1:39 PM
DetailsLast Recertification DateUpdateRecertification11/9/2017 11:54:48 AM8/29/2018 2:43:39 PM8/29/2018 2:43 PM
ContactsPrimary ContactUpdateChange RequestSimons, Jacob Manager, Pharmacy Compliance 340B Vidant Health 2528473728Beasley, Eula Daniel Pharmacy Manager Vidant Roanoke Chowan Hospital 25220931417/18/2018 10:47 AM
ContactsPrimary ContactUpdateChange RequestBeasley, Eula Daniel Pharmacy Manager Vidant Roanoke Chowan Hospital 2522093141Simons, Jacob Manager, Pharmacy Compliance 340B Vidant Health 25284737283/14/2018 11:20 AM
DetailsLast Recertification DateUpdateRecertification8/12/2016 12:00:00 AM11/9/2017 11:54:48 AM11/9/2017 11:54 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestAlford, Charles VP - Financial Services Vidan Health 2526417131Alford, Charles VP - Financial Services Vidant Health 252641713110/19/2017 3:29 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestAlford, Charles VP - Financial Services East Carolina Health - Beaufort, Inc d/b/a Vidant Beaufort Hospital 2529754201Alford, Charles VP - Financial Services Vidan Health 252641713110/19/2017 3:29 PM
AddressesBilling AddressInsertChange Request Vidant Health Accounts Payable PO Box 6028 Greenville, NC 27835-602810/5/2017 12:51 PM
ContactsPrimary ContactUpdateChange RequestBrown, Amy Dir Pharmacy 2522093141Beasley, Eula Daniel Pharmacy Manager Vidant Roanoke Chowan Hospital 252209314110/5/2017 12:51 PM
DetailsEntity NameUpdateChange RequestVIdant ROANOKE-CHOWAN HOSPITALEast Carolina Health d/b/a Vidant Roanoke-Chowan Hospital10/5/2017 12:51 PM
ContactsAuthorizing OfficialUpdateAO Change RequestGRAHAM, JON CFO 2522093610Alford, Charles VP - Financial Services East Carolina Health - Beaufort, Inc d/b/a Vidant Beaufort Hospital 252975420110/2/2017 11:13 AM
AddressesMain AddressInsert   500 SOUTH ACADEMY ST AHOSKIE, NC 279108/12/2016 10:49 AM
ContactsPrimary ContactUpdate Helfrich, Paul Pharmacy Director - VROA 2522093141Brown, Amy Dir Pharmacy 25220931418/12/2016 10:49 AM
DetailsLast Recertification DateUpdate 8/11/2015 12:00:00 AM8/12/2016 12:00:00 AM8/12/2016 10:49 AM
DetailsEntity NameUpdate ROANOKE-CHOWAN HOSPITALVIdant ROANOKE-CHOWAN HOSPITAL3/11/2016 3:45 PM
DetailsLast Recertification DateUpdate 9/5/2014 12:00:00 AM8/11/2015 12:00:00 AM8/11/2015 3:53 PM
DetailsLast Recertification DateUpdate 8/21/2013 12:00:00 AM9/5/2014 12:00:00 AM9/5/2014 6:27 PM
Medicaid BillingNPI: NumberInsert  14674413946/12/2014 1:23 PM
ContactsPrimary ContactUpdate HELFRICH, PAUL DIRECTOR OF PHARMACY 2522093141Helfrich, Paul Pharmacy Director - VROA 25220931415/29/2014 7:59 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False4/17/2014 10:31 AM
Medicaid BillingMedicaid: NumberInsert  3400994/17/2014 10:31 AM
Medicaid BillingMedicaid: StateInsert  NC4/17/2014 10:31 AM
DetailsLast Recertification DateUpdate 8/21/2013 12:27:47 PM8/21/2013 12:00:00 AM4/17/2014 10:31 AM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM8/21/2013 12:27:47 PM8/21/2013 12:27 PM
ContactsPrimary ContactInsert  HELFRICH, PAUL DIRECTOR OF PHARMACY 25220931415/21/2012 7:44 AM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/21/2012 7:44 AM
ContactsAuthorizing OfficialInsert  GRAHAM, JON CFO 25220936104/25/2008 8:28 AM
DetailsLast Recertification DateInsert   4/25/2008 8:28 AM
DetailsGrant NumberInsert   4/25/2008 8:28 AM
Details340B IDInsert  DSH3400994/25/2008 8:28 AM
DetailsIs Authorizing Official EHB DataInsert   4/25/2008 8:28 AM
DatesLast Date That 340B Drugs PurchasedInsert   4/25/2008 8:28 AM
DetailsMedicare Provider NumberInsert  3400994/25/2008 8:28 AM
DetailsEntity NameInsert  ROANOKE-CHOWAN HOSPITAL4/25/2008 8:28 AM
DetailsProgram CodeInsert  DSH4/25/2008 8:28 AM
DetailsEntity SubnameInsert   4/25/2008 8:28 AM
DatesParticipating Approval DateInsert  6/1/2005 12:00:00 AM4/25/2008 8:28 AM
DetailsStateInsert  Active4/25/2008 8:28 AM
DatesRegistration DateInsert  7/1/2005 12:00:00 AM4/25/2008 8:28 AM
DatesSigned By DateInsert   4/25/2008 8:28 AM
DatesStart DateInsert  7/1/2005 12:00:00 AM4/25/2008 8:28 AM
TerminationsTermination CommentsInsert   4/25/2008 8:28 AM
TerminationsTermination DateInsert   4/25/2008 8:28 AM
TerminationsTermination Effective DateInsert   4/25/2008 8:28 AM
TerminationsTermination ReasonInsert   4/25/2008 8:28 AM