340B Drug Pricing Program Database


RRC360211-02 TRINITY HOSPITAL HOLDING COMPANY (Terminated) - information as of 5/26/2025 12:43:00 AM

Main Details
TRINITY HOSPITAL HOLDING COMPANY
TRINITY EXPRESS CARE - Urgent Care Center
Rural Referral Center
No
RRC360211-02
360211


Additional Details
Terminated
1/10/2019
4/1/2019
1/23/2019
8/23/2021

4/1/2022
Change of covered entity type

Contacts

Trinity Health System
Dave Werkin, CFO
(740) 264-8695

Trinity Health System
Jennifer Davis, System Director of Pharmacy
(740) 264-8663

Addresses

150 MAIN ST
WINTERSVILLE, OH 43953-3734

Trinity Hospital Holding Company
4000 Johnson Road
Steubenville, OH 43952


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

Yes
StateMedicaid NumberNPI Number
OH02403861285715144
WV00010710001285715144
PA10098794400011285715144
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
RRC360211-01ChildRRCTRINITY HOSPITAL HOLDING COMPANYTeramana Cancer Center - Oncology3204 Johnson RoadSteubenvilleOHTerminated
RRC360211-02ChildRRCTRINITY HOSPITAL HOLDING COMPANYTRINITY EXPRESS CARE - Urgent Care Center150 MAIN STWINTERSVILLEOHTerminated
RRC360211-03ChildRRCTRINITY HOSPITAL HOLDING COMPANYTrinity Encoscopy Center - Endoscopy Services1805 Sinclair AvenueSteubenvilleOHTerminated
RRC360211-04ChildRRCTRINITY HOSPITAL HOLDING COMPANYTRINITY MEDICAL CENTER EAST - Psychiatry380 SUMMIT AVESTEUBENVILLEOHTerminated
RRC360211-05ChildRRCTRINITY HOSPITAL HOLDING COMPANYTrinity Workcare - Workcare380 Summit AvenueSteubenvilleOHTerminated
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsStateUpdate To Be TerminatedTerminated4/1/2022 12:01 AM
DatesLast Date That 340B Drugs PurchasedUpdateHospital Type Change Request 4/1/2022 12:00:00 AM2/22/2022 8:08 AM
DetailsStateUpdateHospital Type Change RequestActiveTo Be Terminated2/22/2022 8:08 AM
TerminationsTermination DateUpdateHospital Type Change Request 4/1/2022 12:00:00 AM2/22/2022 8:08 AM
TerminationsTermination Effective DateUpdateHospital Type Change Request 4/1/2022 12:00:00 AM2/22/2022 8:08 AM
TerminationsTermination ReasonUpdateHospital Type Change Request Change of covered entity type2/22/2022 8:08 AM
DetailsLast Recertification DateUpdateRecertification9/10/2020 3:12:24 PM8/23/2021 9:29:35 AM8/23/2021 9:29 AM
Medicaid BillingNPI: NumberInsertRecertification 12857151449/10/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification WV9/10/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 12857151449/10/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification OH9/10/2020 3:12 PM
Medicaid BillingNPI: NumberInsertRecertification 12857151449/10/2020 3:12 PM
Medicaid BillingNPI: StateInsertRecertification PA9/10/2020 3:12 PM
Medicaid BillingNPI: NumberDeleteRecertification1285715144 ( ) 9/10/2020 3:12 PM
DetailsLast Recertification DateUpdateRecertification8/29/2019 2:11:40 PM9/10/2020 3:12:24 PM9/10/2020 3:12 PM
ContactsPrimary ContactUpdateChange RequestPearcy, Ryan 340B Division Manager Catholic Health Initiatives 8592295654Davis, Jennifer System Director of Pharmacy Trinity Health System 74026486632/28/2020 7:03 AM
DetailsLast Recertification DateUpdateRecertification 8/29/2019 2:11:40 PM8/29/2019 2:11 PM
AddressesBilling AddressInsertChange Request Trinity Hospital Holding Company 4000 Johnson Road Steubenville, OH 439526/25/2019 5:01 AM
DetailsStateUpdate ApprovedActive4/1/2019 12:05 AM
ContactsSigned ByInsertNew Registration Werkin, Dave CFO Trinity Health System 74026486951/23/2019 9:45 AM
Details340B IDUpdateNew Registration RRC360211-021/23/2019 9:45 AM
DetailsEntity SubnameUpdateNew RegistrationTRINITY EXPRESS CARETRINITY EXPRESS CARE - Urgent Care Center1/23/2019 9:45 AM
DatesParticipating Approval DateUpdateNew Registration 1/23/2019 9:45:58 AM1/23/2019 9:45 AM
DetailsStateUpdateNew RegistrationPendingApproved1/23/2019 9:45 AM
DatesSigned By DateUpdateNew Registration 1/12/2019 6:16:01 AM1/23/2019 9:45 AM
DatesStart DateUpdateNew Registration 4/1/2019 12:00:00 AM1/23/2019 9:45 AM
AddressesMain AddressInsertNew Registration  150 MAIN ST WINTERSVILLE, OH 43953-37341/10/2019 10:44 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/10/2019 10:44 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 02403861/10/2019 10:44 AM
Medicaid BillingMedicaid: StateInsertNew Registration OH1/10/2019 10:44 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/10/2019 10:44 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 00010710001/10/2019 10:44 AM
Medicaid BillingMedicaid: StateInsertNew Registration WV1/10/2019 10:44 AM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/10/2019 10:44 AM
Medicaid BillingMedicaid: NumberInsertNew Registration 10098794400011/10/2019 10:44 AM
Medicaid BillingMedicaid: StateInsertNew Registration PA1/10/2019 10:44 AM
Medicaid BillingNPI: NumberInsertNew Registration 12857151441/10/2019 10:44 AM
ContactsPrimary ContactInsertNew Registration Pearcy, Ryan 340B Division Manager Catholic Health Initiatives 85922956541/10/2019 10:44 AM
ContactsAuthorizing OfficialInsertNew Registration Werkin, Dave CFO Trinity Health System 74026486951/10/2019 10:44 AM
DetailsLast Recertification DateInsertNew Registration  1/10/2019 10:44 AM
DetailsGrant NumberInsertNew Registration  1/10/2019 10:44 AM
Details340B IDInsertNew Registration  1/10/2019 10:44 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/10/2019 10:44 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/10/2019 10:44 AM
DetailsMedicare Provider NumberInsertNew Registration 3602111/10/2019 10:44 AM
DetailsEntity NameInsertNew Registration TRINITY HOSPITAL HOLDING COMPANY1/10/2019 10:44 AM
DetailsProgram CodeInsertNew Registration RRC1/10/2019 10:44 AM
DetailsEntity SubnameInsertNew Registration TRINITY EXPRESS CARE1/10/2019 10:44 AM
DatesParticipating Approval DateInsertNew Registration  1/10/2019 10:44 AM
DetailsStateInsertNew Registration Pending1/10/2019 10:44 AM
DatesRegistration DateInsertNew Registration 1/10/2019 10:44:00 AM1/10/2019 10:44 AM
DatesSigned By DateInsertNew Registration  1/10/2019 10:44 AM
DatesStart DateInsertNew Registration  1/10/2019 10:44 AM
TerminationsTermination CommentsInsertNew Registration  1/10/2019 10:44 AM
TerminationsTermination DateInsertNew Registration  1/10/2019 10:44 AM
TerminationsTermination Effective DateInsertNew Registration  1/10/2019 10:44 AM
TerminationsTermination ReasonInsertNew Registration  1/10/2019 10:44 AM