Covered Entity Details

DSH450352D Hunt Regional Medical Center (Active) - information as of 4/28/2025 4:00:37 AM

Main Details

Name

Hunt Regional Medical Center

Subdivision Name

HUNT REGIONAL EMERGENCY CENTER AT Q

Type

Disproportionate Share Hospital

Rural

340B ID

DSH450352D

Medicare Provider Number

450352

Outpatient Facility Provider Number

Additional Details

Current Program Status

Active

Registration Date

7/12/2017

Participating Start Date

10/1/2017

Participating Approval Date

7/12/2017

Last Recertification Date

8/19/2024

Contacts

Authorizing Official

Hunt Memorial Hospital District
Terry Scoggin, CFO
(903) 408-1653

Primary Contact

Hunt Memorial Hospital District
Heather Rochford, Pharmacy Director
(903) 408-1875 Ext: 1875

Addresses

Street Address

738 E QUINLAN PARKWAY
QUINLAN, TX 75474-8640

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?
Yes

State	Medicaid Number	NPI Number
TX	131038505,131038503,131038504	1598750721,1578558763
OK	200768100A	1598750721
IL	751277293001	1598750721
AR	230397105	1598750721
FL	23595300	1598750721
LA	1741396	1598750721
MA	183960	1598750721
CO	9000180088	1598750721
MO	010079886	1598750721
OR	500610624	1598750721
KS	201278920A	1598750721
AZ	194506	1598750721
MI	1598750721	1598750721

Shipping Addresses

Shipping Address 1

Hunt Regional Medical Center
4215 Joe Ramsey Blvd
Greenville, TX 75401

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
DSH450352A	Child	DSH	Hunt Regional Medical Center	Hunt Regional Infusion Center	5101 Wellington Street	Greenville	TX	Active
DSH450352B	Child	DSH	Hunt Regional Medical Center	Commerce Infusion	2800 Hwy 24	Commerce	TX	Terminated
DSH450352C	Child	DSH	Hunt Regional Medical Center	HUNT REGIONAL EMERGENCY MEDICAL CEN	2800 HWY 24	COMMERCE	TX	Active
DSH450352D	Child	DSH	Hunt Regional Medical Center	HUNT REGIONAL EMERGENCY CENTER AT Q	738 E QUINLAN PARKWAY	QUINLAN	TX	Active
DSH450352E	Child	DSH	Hunt Regional Medical Center	HUNT MEMORIAL HOSPITAL DISTRICT - Hunt Regional Specialists	4211 JOE RAMSEY BLVD E	GREENVILLE	TX	Terminated
DSH450352F	Child	DSH	Hunt Regional Medical Center	HUNT MEMORIAL HOSPITAL DISTRICT - Hunt Regional Urgent Care	3206 INTERSTATE 30 WEST, SUITE B	GREENVILLE	TX	Active
DSH450352G	Child	DSH	Hunt Regional Medical Center	HUNT MEMORIAL HOSPITAL DISTRICT - Hunt Regional Family Medicine	4501 JOE RAMSEY BLVD E	GREENVILLE	TX	Active
DSH450352H	Child	DSH	Hunt Regional Medical Center	Hunt Regional Urgent Care Rockwall - Hunt Regional Urgent Care	810 E. Ralph Hall Pkwy	Rockwall	TX	Active
DSH450352J	Child	DSH	Hunt Regional Medical Center	Hunt Regional Urgent Care Royse City - Hunt Regional Urgent Care	576 I-30 Frontage Rd	Royse City	TX	Active
DSH450352K	Child	DSH	Hunt Regional Medical Center	Hunt Regional Urgent Care Commerce - Hunt Regional Urgent Care	1704 Live Oak Street	Commerce	TX	Active
DSH450352L	Child	DSH	Hunt Regional Medical Center	Hunt Regional Family Medicine Royse City - Family Medicine	616 E Lamar St	Royse City	TX	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Change Request	Boles, Lee CEO Hunt Memorial Hospital District 9034081658	Scoggin, Terry CFO Hunt Memorial Hospital District 9034081653	4/2/2025 12:39 PM
Contacts	Authorizing Official	Update	Change Request	Morgan, Jamie Chief Financial Officer Hunt Regional Memorial Hospital 9034081653	Boles, Lee CEO Hunt Memorial Hospital District 9034081658	12/19/2024 7:01 AM
Contacts	Signed By	Update	Change Request	Boles, Lee CFO Hunt Memorial Hospital District 9034081658	Boles, Lee CEO Hunt Memorial Hospital District 9034081658	12/11/2024 11:43 AM
Details	Last Recertification Date	Update	Recertification	8/31/2023 2:45:23 PM	8/19/2024 12:18:43 PM	8/19/2024 12:18 PM
Details	Last Recertification Date	Update	Recertification	9/16/2022 9:13:38 AM	8/31/2023 2:45:23 PM	8/31/2023 2:45 PM
Contacts	Authorizing Official	Update	AO Change Request	Robertson, James Ayers Chief Financial Officer Hunt Regional Healthcare 9034081607	Morgan, Jamie Chief Financial Officer Hunt Regional Memorial Hospital 9034081653	8/29/2023 8:11 AM
Addresses	Shipping Address	Insert	Change Request		Hunt Regional Medical Center 4215 Joe Ramsey Blvd Greenville, TX 75401	2/17/2023 10:12 AM
Contacts	Primary Contact	Update	Change Request	Morgan, Jamie Controller Hunt Regional Memorial Hospital 9034081653	Rochford, Heather Pharmacy Director Hunt Memorial Hospital District 9034081875-1875	10/27/2022 10:27 AM
Contacts	Primary Contact	Update	Recertification	Rich, Jeri Sr. Financial Analyst Hunt Memorial Hospital District 9034081865	Morgan, Jamie Controller Hunt Regional Memorial Hospital 9034081653	9/16/2022 9:13 AM
Details	Last Recertification Date	Update	Recertification	8/18/2021 1:35:03 PM	9/16/2022 9:13:38 AM	9/16/2022 9:13 AM
Contacts	Authorizing Official	Update	Change Request	Boles, Lee CFO Hunt Memorial Hospital District 9034081658	Robertson, James Ayers Chief Financial Officer Hunt Regional Healthcare 9034081607	4/22/2022 10:25 AM
Details	Last Recertification Date	Update	Recertification	8/31/2020 12:24:56 PM	8/18/2021 1:35:03 PM	8/18/2021 1:35 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		MO	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		TX	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1578558763	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		TX	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		MI	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		LA	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		MA	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		AZ	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		OK	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		KS	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		AR	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		FL	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		OR	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		IL	11/18/2020 4:57 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1598750721	11/18/2020 4:57 PM
Medicaid Billing	NPI: State	Insert	Change Request		CO	11/18/2020 4:57 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		131038503	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		TX	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		9000180088	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		CO	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		010079886	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		MO	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		500610624	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		OR	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		201278920A	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		KS	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		194506	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		AZ	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1598750721	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: State	Insert	Recertification		MI	8/31/2020 12:24 PM
Details	Last Recertification Date	Update	Recertification	9/4/2019 10:54:55 AM	8/31/2020 12:24:56 PM	8/31/2020 12:24 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		131038505	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		TX	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		200768100A	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		OK	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		751277293001	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		IL	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		230397105	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		AR	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		23595300	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		FL	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		1741396	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		LA	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		183960	9/30/2019 10:41 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		MA	9/30/2019 10:41 AM
Details	Last Recertification Date	Update	Recertification	8/17/2018 10:36:07 AM	9/4/2019 10:54:55 AM	9/4/2019 10:54 AM
Details	Last Recertification Date	Update	Recertification	11/3/2017 11:07:51 AM	8/17/2018 10:36:07 AM	8/17/2018 10:36 AM
Details	Entity Name	Update	Recertification	HUNT REGIONAL MEDICAL CENTER	Hunt Regional Medical Center	11/7/2017 10:36 AM
Details	Last Recertification Date	Update	Recertification	10/25/2017 4:17:17 PM	11/3/2017 11:07:51 AM	11/3/2017 11:07 AM
Contacts	Primary Contact	Insert	Recertification		Rich, Jeri Sr. Financial Analyst Hunt Memorial Hospital District 9034081865	10/25/2017 4:17 PM
Details	Last Recertification Date	Update	Recertification		10/25/2017 4:17:17 PM	10/25/2017 4:17 PM
Contacts	Authorizing Official	Update		Boles, Lee CFO 9034081658	Boles, Lee CFO Hunt Memorial Hospital District 9034081658	10/23/2017 2:06 PM
Contacts	Signed By	Update		Boles, Lee CFO 9034081658	Boles, Lee CFO Hunt Memorial Hospital District 9034081658	10/23/2017 2:06 PM
Contacts	Authorizing Official	Insert			Boles, Lee CFO 9034081658	8/2/2017 2:38 PM
Contacts	Signed By	Insert			Boles, Lee CFO 9034081658	8/2/2017 2:38 PM
Addresses	Main Address	Insert			738 E QUINLAN PARKWAY QUINLAN, TX 75474-8640	7/12/2017 5:51 PM
Details	State	Update		Approved	Active	7/12/2017 5:51 PM
Dates	Participating Approval Date	Update			7/12/2017 12:00:00 AM	7/12/2017 5:50 PM
Details	State	Update		Pending	Approved	7/12/2017 5:50 PM
Dates	Start Date	Update			10/1/2017 12:00:00 AM	7/12/2017 5:50 PM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_78358	DSH450352D	7/12/2017 3:51 PM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_78358	7/12/2017 2:02 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	7/12/2017 2:02 PM
Medicaid Billing	Medicaid: Number	Insert			131038504	7/12/2017 2:02 PM
Medicaid Billing	Medicaid: State	Insert			TX	7/12/2017 2:02 PM
Details	Last Recertification Date	Insert				7/12/2017 2:02 PM
Details	Grant Number	Insert				7/12/2017 2:02 PM
Details	340B ID	Insert				7/12/2017 2:02 PM
Details	Is Authorizing Official EHB Data	Insert				7/12/2017 2:02 PM
Dates	Last Date That 340B Drugs Purchased	Insert				7/12/2017 2:02 PM
Details	Medicare Provider Number	Insert			450352	7/12/2017 2:02 PM
Details	Entity Name	Insert			HUNT REGIONAL MEDICAL CENTER	7/12/2017 2:02 PM
Details	Program Code	Insert			DSH	7/12/2017 2:02 PM
Details	Entity Subname	Insert			HUNT REGIONAL EMERGENCY CENTER AT Q	7/12/2017 2:02 PM
Dates	Participating Approval Date	Insert				7/12/2017 2:02 PM
Details	State	Insert			Pending	7/12/2017 2:02 PM
Dates	Registration Date	Insert			7/12/2017 12:00:00 AM	7/12/2017 2:02 PM
Dates	Signed By Date	Insert			7/12/2017 12:00:00 AM	7/12/2017 2:02 PM
Dates	Start Date	Insert				7/12/2017 2:02 PM
Terminations	Termination Comments	Insert				7/12/2017 2:02 PM
Terminations	Termination Date	Insert				7/12/2017 2:02 PM
Terminations	Termination Effective Date	Insert				7/12/2017 2:02 PM
Terminations	Termination Reason	Insert				7/12/2017 2:02 PM