340B Drug Pricing Program Database


DSH450330 OAKBEND MEDICAL CENTER (Active) - information as of 4/27/2025 12:51:17 AM

Main Details
OAKBEND MEDICAL CENTER
Disproportionate Share Hospital
No
DSH450330
450330


Additional Details
Active
10/2/2023
1/1/2024
11/29/2023
8/29/2024

Contacts

OakBend Medical Center
Joseph Freudenberger, CEO
(281) 341-4819

OakBend Medical Center
Hope Schnabel, Special Projects
(281) 341-4811

Addresses

1705 JACKSON ST
RICHMOND, TX 77469

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
Participated starting 7/1/2017; Terminated 10/1/2022; Reinstated 1/1/2024.11/13/2023
Last recertification date 09/24/202009/24/2020
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503307/17/201710/01/2017 10/01/202210/01/2022
Contract DetailH-E-B, LPH-E-B PHARMACY WAREHOUSE 6520 FRATT RD
SAN ANTONIOTX7821804/16/201807/01/2018 06/11/201906/18/2019
Contract DetailHEB PHARMACY #1108900 HWY 6
MISSOURI CITYTX7745904/16/201807/01/2018 06/11/201906/18/2019
Contract DetailHEB PHARMACY #416450 EAST TRAVIS
LA GRANGETX7894504/16/201807/01/2018 06/11/201906/18/2019
Contract DetailHEB PHARMACY #4744724 HWY 6
MISSOURI CITYTX7745904/16/201807/01/2018 06/11/201906/18/2019
Contract DetailHEB PHARMACY #56319900 SOUTHWEST FRWY
SUGAR LANDTX7747904/16/201807/01/2018 06/11/201906/18/2019
Contract DetailHEB PHARMACY #627530 HIGHWAY 6
SUGARLANDTX7747904/16/201807/01/2018 06/11/201906/18/2019
Contract DetailHEB PHARMACY #72723500 CIRCLE OAK PARKWAY
RICHMONDTX7746904/16/201807/01/2018 06/11/201906/18/2019
Contract DetailKROGER PHARMACY #01024401 BRAZOS TOWN CROSSING
ROSENBERGTX7747107/17/201710/01/2017 06/11/201906/18/2019
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999207/17/201710/01/2017 10/01/202210/01/2022
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #2671 525 SOUTH FRY RD
KATYTX7745010/16/201701/01/2018 10/17/201810/17/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1021 3346 HWY 6 SOUTH
SUGAR LANDTX7747810/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1011 14610 MEMORIAL DR
HOUSTONTX7707910/16/201701/01/2018 06/11/201906/18/2019
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #3068 5800 NEW TERRITORY BLVD
SUGAR LANDTX7747910/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1022 11711 WEST BELLFORT
STAFFORDTX7747710/16/201701/01/2018 03/01/201803/02/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #2961 9660 WESTHEIMER RD
HOUSTONTX7706310/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1772 3050 FRY RD
KATYTX7744910/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1041 4800 WEST BELLFORT
HOUSTONTX7703510/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #4033 5586 WESLAYAN
HOUSTONTX7700510/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1021 3346 HWY 6 SOUTH
SUGAR LANDTX7747810/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #3064 5130 BELLAIRE BLVD
BELLAIRETX7740110/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1011 14610 MEMORIAL DR
HOUSTONTX7707910/16/201701/01/2018 06/11/201906/18/2019
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1061 3131 W HOLCOMBE BLVD
HOUSTONTX7702510/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1774 5346 WEST 34TH
HOUSTONTX7709210/16/201701/01/2018 03/01/201803/02/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #2670 1890 FM 359
RICHMONDTX7740610/16/201701/01/2018 06/11/201906/18/2019
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1061 3131 W HOLCOMBE BLVD
HOUSTONTX7702510/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #4062 2323 CLEAR LAKE BLVD
HOUSTONTX7706210/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1858 10228 BROADWAY
PEARLANDTX7758410/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1012 5219 FM 1960 WEST
HOUSTONTX7706910/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1857 12312 BARKER CYPRESS RD
CYPRESSTX7742910/16/201701/01/2018 06/18/201806/26/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #3067 5161 SAN FELIPE
HOUSTONTX7705610/16/201701/01/2018 10/22/201810/22/2018
Contract DetailRANDALLS FOOD AND DRUGS LPRANDALLS PHARMACY #1066 12850 MEMORIAL DR
STE 1000
HOUSTONTX7702410/16/201701/01/2018 10/22/201810/22/2018
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/16/201701/01/2018 06/11/201906/18/2019
Contract DetailWAL-MART PHARMACY 10-05465330 FM 1640
RICHMONDTX7746910/16/201701/01/2018 06/11/201906/18/2019
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/16/201701/01/2018 06/11/201906/18/2019
Contract DetailWALGREEN CO.DBA: WALGREENS # 02958 3316 AVENUE H
ROSENBERGTX7747107/17/201710/01/2017 10/01/202210/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 01199 1600 JACKSON STREET
RICHMONDTX7746907/17/201710/01/2017 10/01/202210/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 04114 510 CHIMNEY ROCK ROAD
HOUSTONTX7705607/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 05835 5002 BELLAIRE BLVD
BELLAIRETX7740107/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 06783 17330 W GRAND PKWY SOUTH
SUGAR LANDTX7747907/17/201710/01/2017 10/01/202210/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 03157 3317 MONTROSE BLVD.
HOUSTONTX7700607/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREEN CO.DBA: WALGREENS #11970 9810 S. MASON RD.
RICHMONDTX7740607/17/201710/01/2017 10/01/202210/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 03328 12850 MEMORIAL DRIVE
HOUSTONTX7702407/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREEN CO.DBA: WALGREENS #11909 3902 FM 762
ROSENBERGTX7746907/17/201710/01/2017 10/01/202210/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 03138 3920 GARTH ROAD
BAYTOWNTX7752107/17/201710/01/2017 10/01/202210/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS # 16293 3745 WESTHEIMER RD
HOUSTONTX7702707/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04027 5200 WESTHEIMER ROAD
HOUSTONTX7705607/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 04745 5280 BUFFALO SPEEDWAY
HOUSTONTX7700507/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 03735 1919 W GRAY
HOUSTONTX7701907/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREEN CO.DBA WALGREENS SPECIALTY PHARMACY #15086 6560 FANNIN ST STE 260
HOUSTONTX7703007/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503307/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527507/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700807/17/201710/01/2017 07/18/201808/03/2018
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818807/17/201710/01/2017 07/18/201808/03/2018
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH450330AChildDSHOAKBEND MEDICAL CENTERMetro Ortho and Spine Surgery Center of OakBend Health System4219 Richmond AvenueHoustonTXTerminated
DSH450330AAChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Radiology-Diagnostic22003 Southwest FreewayRichmondTXActive
DSH450330ABChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Labor and Delivery22003 Southwest FreewayRichmondTXActive
DSH450330ACChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Adults & Pediatric Observation Patients22003 SOUTHWEST FRWYRICHMONDTXActive
DSH450330ADChildDSHOAKBEND MEDICAL CENTERFort Bend Surgery Center of OakBend Health System14851 Southwest FreewaySugarlandTXActive
DSH450330AEChildDSHOAKBEND MEDICAL CENTEROakBend Outpatient Surgery Department – Grand Parkway - ASC7830 Grand ParkwayRichmondTXTerminated
DSH450330AFChildDSHOAKBEND MEDICAL CENTEROakBend Outpatient Surgery Department - Greenway Plaza ASC - Ambulatory Surgery Center4126 Southwest FreewayHoustonTXActive
DSH450330BChildDSHOAKBEND MEDICAL CENTERGrand Parkway Emergency7830 W GRAND PARKWAY S.RICHMONDTXTerminated
DSH450330CChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Emergency22003 Southwest FreewayRichmondTXActive
DSH450330DChildDSHOAKBEND MEDICAL CENTERHospital of Surgical Excellence-Operating Room1211 HIGHWAY 6SUGAR LANDTXTerminated
DSH450330EChildDSHOAKBEND MEDICAL CENTERRiver Oaks Surgery Center of OakBend Health System-Operating Room4120 Southwest FreewayHoustonTXActive
DSH450330FChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Operating Room22003 Southwest FreewayRichmondTXActive
DSH450330GChildDSHOAKBEND MEDICAL CENTERHospital of Surgical Excellence -Emergency1211 HIGHWAY 6SugarlandTXTerminated
DSH450330HChildDSHOAKBEND MEDICAL CENTERHospital of Surgical Excellence -Anesthesiology 1211 HIGHWAY 6 SUITE 70SugarlandTXTerminated
DSH450330JChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Anesthesiology22003 Southwest FreewayRichmondTXActive
DSH450330KChildDSHOAKBEND MEDICAL CENTERHospital for Surgical Excellence1211 HIGHWAY 6SugarlandTXTerminated
DSH450330LChildDSHOAKBEND MEDICAL CENTERElite Minimally Invasive Surgery of OakBend Health System6655 Travis StreetHoustonTXActive
DSH450330MChildDSHOAKBEND MEDICAL CENTERHospital of Surgical Excellence -MRI1211 HIGHWAY 6SugarlandTXTerminated
DSH450330NChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-MRI22003 Southwest FreewayRichmondTXActive
DSH450330PChildDSHOAKBEND MEDICAL CENTERHospital of Surgical Excellence-Laboratory1211 HIGHWAY 6SugarlandTXTerminated
DSH450330QChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Laboratory22003 Southwest FreewayRichmondTXActive
DSH450330RChildDSHOAKBEND MEDICAL CENTERHospital of Surgical Excellence -Medical Surgery 1211 HIGHWAY 6SugarlandTXTerminated
DSH450330SChildDSHOAKBEND MEDICAL CENTERRiver Oaks Surgery Center of OakBend Health System-Anesthesiology4120 Southwest FreewayHoustonTXActive
DSH450330TChildDSHOAKBEND MEDICAL CENTERHospital of Surgical Excellence-Ambulatory Surgery Care1211 HIGHWAY 6SugarlandTXTerminated
DSH450330UChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Ambulatory Surgery Care22003 Southwest FreewayRichmondTXActive
DSH450330VChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Physical Therapy22003 Southwest FreewayRichmondTXActive
DSH450330WChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Medical Surgery 22003 Southwest FreewayRichmondTXTerminated
DSH450330XChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-RESPIRATORY22003 Southwest FreewayRichmondTXActive
DSH450330YChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-CT22003 Southwest FreewayRichmondTXActive
DSH450330ZChildDSHOAKBEND MEDICAL CENTERWilliams Way Campus-Nuclear Medicine22003 Southwest FreewayRichmondTXActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification 8/29/2024 7:36:59 AM8/29/2024 7:36 AM
DetailsStateUpdate ApprovedActive1/1/2024 12:01 AM
ContactsPrimary ContactUpdateReinstatementRayani, Nikita Program Director OakBend Medical Center 2816334012Schnabel, Hope Special Projects OakBend Medical Center 281341481111/29/2023 7:36 AM
ContactsAuthorizing OfficialUpdateReinstatementHammel, Jeffrey CFO OakBend Medical Center 2813414881Freudenberger, Joseph CEO OakBend Medical Center 281341481911/29/2023 7:36 AM
ContactsSigned ByUpdateReinstatementRayani, Nikita Program Director OakBend Medical Center 2816334012Freudenberger, Joseph CEO OakBend Medical Center 281341481911/29/2023 7:36 AM
DetailsLast Recertification DateUpdateReinstatement8/23/2021 2:56:46 PM 11/29/2023 7:36 AM
DatesLast Date That 340B Drugs PurchasedUpdateReinstatement9/30/2022 12:00:00 AM 11/29/2023 7:36 AM
DatesParticipating Approval DateUpdateReinstatement4/26/2017 12:00:00 AM11/29/2023 7:36:26 AM11/29/2023 7:36 AM
DetailsStateUpdateReinstatementTerminatedApproved11/29/2023 7:36 AM
DatesRegistration DateUpdateReinstatement4/10/2017 12:00:00 AM10/2/2023 1:14:06 PM11/29/2023 7:36 AM
DatesSigned By DateUpdateReinstatement4/10/2017 12:00:00 AM10/30/2023 9:01:44 AM11/29/2023 7:36 AM
DatesStart DateUpdateReinstatement7/1/2017 12:00:00 AM1/1/2024 12:00:00 AM11/29/2023 7:36 AM
TerminationsTermination DateUpdateReinstatement10/1/2022 12:00:00 AM 11/29/2023 7:36 AM
TerminationsTermination Effective DateUpdateReinstatement10/1/2022 12:00:00 AM 11/29/2023 7:36 AM
TerminationsTermination ReasonUpdateReinstatementFailure to recertify 11/29/2023 7:36 AM
DetailsComments PublicInsertReinstatement Participated starting 7/1/2017; Terminated 10/1/2022; Reinstated 1/1/2024.11/13/2023 5:11 PM
DetailsStateUpdate To Be TerminatedTerminated10/1/2022 12:01 AM
DatesLast Date That 340B Drugs PurchasedUpdateRecertification 9/30/2022 12:00:00 AM9/22/2022 11:22 AM
DetailsStateUpdateRecertificationActiveTo Be Terminated9/22/2022 11:22 AM
TerminationsTermination DateUpdateRecertification 10/1/2022 12:00:00 AM9/22/2022 11:22 AM
TerminationsTermination Effective DateUpdateRecertification 10/1/2022 12:00:00 AM9/22/2022 11:22 AM
TerminationsTermination ReasonUpdateRecertification Failure to recertify9/22/2022 11:22 AM
DetailsLast Recertification DateUpdateRecertification8/22/2019 5:54:24 AM8/23/2021 2:56:46 PM8/23/2021 2:56 PM
DatesLast Date That 340B Drugs PurchasedUpdateOPA Cancel Termination Request9/30/2020 12:00:00 AM 9/24/2020 7:52 AM
DetailsStateUpdateOPA Cancel Termination RequestTo Be TerminatedActive9/24/2020 7:52 AM
TerminationsTermination DateUpdateOPA Cancel Termination Request10/1/2020 12:00:00 AM 9/24/2020 7:52 AM
TerminationsTermination Effective DateUpdateOPA Cancel Termination Request9/30/2020 12:00:00 AM 9/24/2020 7:52 AM
TerminationsTermination ReasonUpdateOPA Cancel Termination RequestFailure to recertify 9/24/2020 7:52 AM
DetailsComments PublicInsertOPA Edit Last recertification date 09/24/20209/24/2020 7:52 AM
DatesLast Date That 340B Drugs PurchasedUpdateRecertification 9/30/2020 12:00:00 AM9/16/2020 8:22 AM
DetailsStateUpdateRecertificationActiveTo Be Terminated9/16/2020 8:22 AM
TerminationsTermination DateUpdateRecertification 10/1/2020 12:00:00 AM9/16/2020 8:22 AM
TerminationsTermination Effective DateUpdateRecertification 9/30/2020 12:00:00 AM9/16/2020 8:22 AM
TerminationsTermination ReasonUpdateRecertification Failure to recertify9/16/2020 8:22 AM
DetailsLast Recertification DateUpdateRecertification9/11/2018 3:24:12 PM8/22/2019 5:54:24 AM8/22/2019 5:54 AM
DetailsLast Recertification DateUpdateRecertification11/9/2017 12:22:42 PM9/11/2018 3:24:12 PM9/11/2018 3:24 PM
DetailsLast Recertification DateUpdateRecertification 11/9/2017 12:22:42 PM11/9/2017 12:22 PM
ContactsAuthorizing OfficialUpdate Hammel, Jeffrey CFO 2813414881Hammel, Jeffrey CFO OakBend Medical Center 281341488110/9/2017 12:40 PM
ContactsPrimary ContactUpdate Rayani, Nikita Program Director 2816334012Rayani, Nikita Program Director OakBend Medical Center 281633401210/3/2017 1:05 PM
ContactsSigned ByUpdate Rayani, Nikita Program Director 2816334012Rayani, Nikita Program Director OakBend Medical Center 281633401210/3/2017 1:05 PM
ContactsAuthorizing OfficialInsert  Hammel, Jeffrey CFO 28134148818/3/2017 10:28 AM
ContactsPrimary ContactInsert  Rayani, Nikita Program Director 28163340128/3/2017 10:28 AM
ContactsSigned ByInsert  Rayani, Nikita Program Director 28163340128/3/2017 10:28 AM
AddressesMain AddressInsert   1705 JACKSON ST RICHMOND, TX 774697/24/2017 5:12 PM
DatesParticipating Approval DateUpdate  4/26/2017 12:00:00 AM4/26/2017 2:00 PM
DetailsStateUpdate PendingActive4/26/2017 2:00 PM
DatesStart DateUpdate  7/1/2017 12:00:00 AM4/26/2017 2:00 PM
Details340B IDUpdate ONLINE_REG_76286DSH4503304/11/2017 8:10 AM
Details340B IDUpdate  ONLINE_REG_762864/10/2017 9:51 AM
DetailsLast Recertification DateInsert   4/10/2017 9:51 AM
DetailsGrant NumberInsert   4/10/2017 9:51 AM
Details340B IDInsert   4/10/2017 9:51 AM
DetailsIs Authorizing Official EHB DataInsert   4/10/2017 9:51 AM
DatesLast Date That 340B Drugs PurchasedInsert   4/10/2017 9:51 AM
DetailsMedicare Provider NumberInsert  4503304/10/2017 9:51 AM
DetailsEntity NameInsert  OAKBEND MEDICAL CENTER4/10/2017 9:51 AM
DetailsProgram CodeInsert  DSH4/10/2017 9:51 AM
DetailsEntity SubnameInsert   4/10/2017 9:51 AM
DatesParticipating Approval DateInsert   4/10/2017 9:51 AM
DetailsStateInsert  Pending4/10/2017 9:51 AM
DatesRegistration DateInsert  4/10/2017 12:00:00 AM4/10/2017 9:51 AM
DatesSigned By DateInsert  4/10/2017 12:00:00 AM4/10/2017 9:51 AM
DatesStart DateInsert   4/10/2017 9:51 AM
TerminationsTermination CommentsInsert   4/10/2017 9:51 AM
TerminationsTermination DateInsert   4/10/2017 9:51 AM
TerminationsTermination Effective DateInsert   4/10/2017 9:51 AM
TerminationsTermination ReasonInsert   4/10/2017 9:51 AM