340B Drug Pricing Program Database


CAH281322-06 ST. FRANCIS MEMORIAL HOSPITAL (Terminated) - information as of 5/2/2025 10:39:38 PM

Main Details
ST. FRANCIS MEMORIAL HOSPITAL
FRANCISCAN CARE SERVICES INC - HOOPER MEDICAL CLINIC
Critical Access Hospital
Yes
CAH281322-06
281322
288537


Additional Details
Terminated
1/10/2017
4/1/2017
2/16/2017
8/22/2019

1/1/2020
Site closure

Contacts

St. Francis Memorial Hospital
Alisa Ann Brunsing, CFO
(402) 372-6717

St. Francis Memorial Hospital
MICHELLE EINFALT, PHARMACY DIRECTOR
(402) 372-6730

Addresses

600 E FULTON ST STE A
HOOPER MEDICAL CLINIC
HOOPER, NE 68031-3074

DINKLAGE MEDICAL CLINIC
500 E DECATUR ST
WEST POINT, NE 68788-1566


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

No
Shipping Addresses

ST FRANCIS MEMORIAL HOSPITAL
430 N MONITOR ST
WEST POINT, NE 68788-1595
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
CAH281322-01ChildCAHFRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCAREFRANCISCAN HEALTHCARE WEST POINT CLINIC500 EAST DECATURWEST POINTNEActive
CAH281322-02ChildCAHFRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCAREFRANCISCAN HEALTHCARE HOWELLS CLINIC119 S 3RD STREETHOWELLSNEActive
CAH281322-03ChildCAHFRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCAREFRANCISCAN HEALTHCARE WISNER CLINIC2100 21ST CIRCLEWISNERNEActive
CAH281322-04ChildCAHFRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCAREOAKLAND FAMILY PRACTICE100 WEST 9TH STREETOAKLANDNETerminated
CAH281322-05ChildCAHFRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCAREFRANCISCAN HEALTHCARE SCRIBNER CLINIC429 MAIN STREETSCRIBNERNEActive
CAH281322-06ChildCAHST. FRANCIS MEMORIAL HOSPITALFRANCISCAN CARE SERVICES INC - HOOPER MEDICAL CLINIC600 E FULTON ST STE AHOOPERNETerminated
CAH281322-07ChildCAHFRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCAREFranciscan Healthcare Oakland Clinic - Family Practice211 N Engdahl AveOaklandNEActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate To Be TerminatedTerminated1/1/2020 12:05 AM
DatesLast Date That 340B Drugs PurchasedUpdateTermination Request 11/20/2019 12:00:00 AM12/4/2019 3:41 PM
DetailsStateUpdateTermination RequestActiveTo Be Terminated12/4/2019 3:41 PM
TerminationsTermination DateUpdateTermination Request 1/1/2020 12:00:00 AM12/4/2019 3:41 PM
TerminationsTermination Effective DateUpdateTermination Request 11/20/2019 12:00:00 AM12/4/2019 3:41 PM
TerminationsTermination ReasonUpdateTermination Request Site closure12/4/2019 3:41 PM
DetailsLast Recertification DateUpdateRecertification8/17/2018 1:04:50 PM8/22/2019 2:52:02 PM8/22/2019 2:52 PM
ContactsAuthorizing OfficialUpdateChange RequestWordekemper, Jerry CEO/PRESIDENT St. Francis Memorial Hospital 4023722404-2101Brunsing, Alisa Ann CFO St. Francis Memorial Hospital 40237267177/11/2019 8:05 AM
DetailsLast Recertification DateUpdateRecertification11/20/2017 11:34:43 AM8/17/2018 1:04:50 PM8/17/2018 1:04 PM
ContactsPrimary ContactInsertRecertification EINFALT, MICHELLE PHARMACY DIRECTOR St. Francis Memorial Hospital 402372673011/20/2017 11:34 AM
DetailsLast Recertification DateUpdateRecertification 11/20/2017 11:34:43 AM11/20/2017 11:34 AM
ContactsAuthorizing OfficialUpdate Wordekemper, Jerry CEO/PRESIDENT 4023722404-2101Wordekemper, Jerry CEO/PRESIDENT St. Francis Memorial Hospital 4023722404-210110/14/2017 8:44 AM
ContactsSigned ByUpdate Wordekemper, Jerry CEO/PRESIDENT 4023722404-2101Wordekemper, Jerry CEO/PRESIDENT St. Francis Memorial Hospital 4023722404-210110/14/2017 8:44 AM
ContactsAuthorizing OfficialInsert  Wordekemper, Jerry CEO/PRESIDENT 4023722404-21012/16/2017 4:43 PM
ContactsSigned ByInsert  Wordekemper, Jerry CEO/PRESIDENT 4023722404-21012/16/2017 4:43 PM
AddressesMain AddressInsert   600 E FULTON ST STE A HOOPER MEDICAL CLINIC HOOPER, NE 68031-30742/16/2017 4:43 PM
AddressesBilling AddressInsert  DINKLAGE MEDICAL CLINIC 500 E DECATUR ST WEST POINT, NE 68788-15662/16/2017 4:43 PM
AddressesShipping AddressInsert  ST FRANCIS MEMORIAL HOSPITAL 430 N MONITOR ST WEST POINT, NE 68788-15952/16/2017 4:43 PM
DatesParticipating Approval DateUpdate  2/16/2017 12:00:00 AM2/16/2017 4:43 PM
DetailsStateUpdate PendingActive2/16/2017 4:43 PM
DatesStart DateUpdate  4/1/2017 12:00:00 AM2/16/2017 4:43 PM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_74309CAH281322-062/1/2017 2:40 PM
DetailsEntity SubnameUpdate FRANCISCAN CARE SERVICES INCFRANCISCAN CARE SERVICES INC - HOOPER MEDICAL CLINIC2/1/2017 2:40 PM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_743091/10/2017 11:59 AM
DetailsLast Recertification DateInsert   1/10/2017 11:59 AM
DetailsGrant NumberInsert   1/10/2017 11:59 AM
Details340B IDInsert   1/10/2017 11:59 AM
DetailsIs Authorizing Official EHB DataInsert   1/10/2017 11:59 AM
DatesLast Date That 340B Drugs PurchasedInsert   1/10/2017 11:59 AM
DetailsMedicare Provider NumberInsert  2813221/10/2017 11:59 AM
DetailsEntity NameInsert  ST. FRANCIS MEMORIAL HOSPITAL1/10/2017 11:59 AM
DetailsProgram CodeInsert  CAH1/10/2017 11:59 AM
DetailsEntity SubnameInsert  FRANCISCAN CARE SERVICES INC1/10/2017 11:59 AM
DatesParticipating Approval DateInsert   1/10/2017 11:59 AM
DetailsStateInsert  Pending1/10/2017 11:59 AM
DatesRegistration DateInsert  1/10/2017 12:00:00 AM1/10/2017 11:59 AM
DatesSigned By DateInsert  1/10/2017 12:00:00 AM1/10/2017 11:59 AM
DatesStart DateInsert   1/10/2017 11:59 AM
TerminationsTermination CommentsInsert   1/10/2017 11:59 AM
TerminationsTermination DateInsert   1/10/2017 11:59 AM
TerminationsTermination Effective DateInsert   1/10/2017 11:59 AM
TerminationsTermination ReasonInsert   1/10/2017 11:59 AM