340B Drug Pricing Program Database


HV02601 CAPE COD HOSPITAL (Active) - information as of 5/27/2025 11:36:50 PM

Main Details
CAPE COD HOSPITAL
RYAN WHITE PART C OUTPATIENT EIS PROGRAM
Ryan White Part C
HV02601
H76HA00764


Additional Details
Active
10/15/2019
1/1/2020
11/8/2019
2/20/2025
4/1/2022 - 3/31/2025

Contacts

Cape Cod Hospital - Infectious Disease Clinical Services
Valerie Nicole Al-Hachem, Infectious Disease Director & Grants Administrator
(508) 862-5639

Cape Cod Healthcare
Kevin Hand, Corporate Controller
(774) 470-5542

Addresses

34 PARK STREET
Hyannis, MA 02601-5230

CAPE COD HOSPITAL
27 PARK STREET
HYANNIS, MA 02601


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

No
Shipping Addresses

CAPE COD HOSPITAL
27 PARK STREET
HYANNIS, MA 02601
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailCAPE COD HEALTHCARE PHARMACY AT CCH27 PARK ST
HYANNISMA02601-523001/13/202004/01/2020  04/01/2020
Contract DetailCAPE COD HEALTHCARE PHARMACY AT FALMOUTH100 TER HEUN DR
FALMOUTHMA02540-250301/13/202004/01/2020  04/01/2020
Contract DetailOSCO PHARMACY #7596  18 SISSON ROAD
HARWICHPORTMA0264604/14/202307/01/2023 04/17/202304/17/2023
Contract DetailSTAR MARKETS COMPANY INCSTAR MARKET PHARMACY #4596 18 SISSON ROAD
HARWICH PORTMA0264604/17/202307/01/2023  07/01/2023
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification2/7/2024 9:57:48 AM2/20/2025 3:20:11 PM2/20/2025 3:20 PM
ContactsPrimary ContactUpdateRecertificationHand, Kevin Assistant Controller Cape Cod Healthcare 7744705542Hand, Kevin Corporate Controller Cape Cod Healthcare 77447055422/20/2025 3:17 PM
DetailsLast Recertification DateUpdateRecertification2/3/2023 10:44:20 AM2/7/2024 9:57:48 AM2/7/2024 9:57 AM
DetailsNOFO NumberUpdate HRSA-22-014 12/16/2023 10:34 AM
DetailsNOFO NumberUpdateChange RequestHRSA-18-004HRSA-22-0142/6/2023 9:57 AM
Medicaid BillingMedicaid: NumberDeleteRecertification11018134 (MA) 2/3/2023 10:44 AM
Medicaid BillingNPI: NumberDeleteRecertification1457713232 (MA) 2/3/2023 10:44 AM
Medicaid BillingNPI: NumberDeleteRecertification1588101380 (MA) 2/3/2023 10:44 AM
DetailsAssistance Received From DateUpdateRecertification4/1/2018 12:00:00 AM4/1/2022 12:00:00 AM2/3/2023 10:44 AM
DetailsAssistance Received To DateUpdateRecertification3/31/2022 12:00:00 AM3/31/2025 12:00:00 AM2/3/2023 10:44 AM
DetailsLast Recertification DateUpdateRecertification2/4/2022 10:05:24 AM2/3/2023 10:44:20 AM2/3/2023 10:44 AM
DetailsLast Recertification DateUpdateRecertification2/24/2021 7:39:20 PM2/4/2022 10:05:24 AM2/4/2022 10:05 AM
ContactsPrimary ContactUpdateChange RequestFuller, Scott Executive Director - Revenue, Finance, & Reimbursement Cape Cod Healthcare 7744705535Hand, Kevin Assistant Controller Cape Cod Healthcare 77447055425/18/2021 1:04 PM
Medicaid BillingMedicaid: NumberDeleteRecertification110026780 (MA) 2/24/2021 7:39 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/24/2021 7:39 PM
Medicaid BillingMedicaid: NumberInsertRecertification 110181342/24/2021 7:39 PM
Medicaid BillingMedicaid: StateInsertRecertification MA2/24/2021 7:39 PM
Medicaid BillingNPI: NumberDeleteRecertification1114984671 ( ) 2/24/2021 7:39 PM
Medicaid BillingNPI: NumberInsertRecertification 14577132322/24/2021 7:39 PM
Medicaid BillingNPI: StateInsertRecertification MA2/24/2021 7:39 PM
Medicaid BillingNPI: NumberInsertRecertification 15881013802/24/2021 7:39 PM
Medicaid BillingNPI: StateInsertRecertification MA2/24/2021 7:39 PM
DetailsAssistance Received From DateUpdateRecertification 4/1/2018 12:00:00 AM2/24/2021 7:39 PM
DetailsAssistance Received To DateUpdateRecertification 3/31/2022 12:00:00 AM2/24/2021 7:39 PM
DetailsLast Recertification DateUpdateRecertification1/29/2020 8:46:19 AM2/24/2021 7:39:20 PM2/24/2021 7:39 PM
DetailsNOFO NumberUpdateRecertification HRSA-18-0042/24/2021 7:39 PM
AddressesMain AddressUpdateRecertification 27 Park Street Hyannis, MA 02601-5230 34 PARK STREET Hyannis, MA 02601-52301/29/2020 8:46 AM
AddressesBilling AddressInsertRecertification CAPE COD HOSPITAL 27 PARK STREET HYANNIS, MA 026011/29/2020 8:46 AM
AddressesShipping AddressInsertRecertification CAPE COD HOSPITAL 27 PARK STREET HYANNIS, MA 026011/29/2020 8:46 AM
DetailsLast Recertification DateUpdateRecertification 1/29/2020 8:46:19 AM1/29/2020 8:46 AM
ContactsAuthorizing OfficialUpdateAO Change Requestconnors, michael CFO Cape Cod Healthcare 7744705569Al-Hachem, Valerie Nicole Infectious Disease Director & Grants Administrator Cape Cod Hospital - Infectious Disease Clinical Services 50886256391/15/2020 11:11 AM
DetailsStateUpdate ApprovedActive1/1/2020 12:04 AM
ContactsSigned ByInsertNew Registration connors, michael CFO Cape Cod Healthcare 774470556911/8/2019 1:46 PM
Details340B IDUpdateNew Registration HV0260111/8/2019 1:46 PM
DatesParticipating Approval DateUpdateNew Registration 11/8/2019 1:46:29 PM11/8/2019 1:46 PM
DetailsStateUpdateNew RegistrationPendingApproved11/8/2019 1:46 PM
DatesSigned By DateUpdateNew Registration 10/15/2019 8:26:12 PM11/8/2019 1:46 PM
DatesStart DateUpdateNew Registration 1/1/2020 12:00:00 AM11/8/2019 1:46 PM
AddressesMain AddressInsertNew Registration  27 Park Street Hyannis, MA 02601-523010/15/2019 3:42 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False10/15/2019 3:42 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 11002678010/15/2019 3:42 PM
Medicaid BillingMedicaid: StateInsertNew Registration MA10/15/2019 3:42 PM
Medicaid BillingNPI: NumberInsertNew Registration 111498467110/15/2019 3:42 PM
ContactsPrimary ContactInsertNew Registration Fuller, Scott Executive Director - Revenue, Finance, & Reimbursement Cape Cod Healthcare 774470553510/15/2019 3:42 PM
ContactsAuthorizing OfficialInsertNew Registration connors, michael CFO Cape Cod Healthcare 774470556910/15/2019 3:42 PM
DetailsLast Recertification DateInsertNew Registration  10/15/2019 3:42 PM
DetailsGrant NumberInsertNew Registration H76HA0076410/15/2019 3:42 PM
Details340B IDInsertNew Registration  10/15/2019 3:42 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/15/2019 3:42 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/15/2019 3:42 PM
DetailsMedicare Provider NumberInsertNew Registration  10/15/2019 3:42 PM
DetailsEntity NameInsertNew Registration CAPE COD HOSPITAL10/15/2019 3:42 PM
DetailsProgram CodeInsertNew Registration HV10/15/2019 3:42 PM
DetailsEntity SubnameInsertNew Registration RYAN WHITE PART C OUTPATIENT EIS PROGRAM10/15/2019 3:42 PM
DatesParticipating Approval DateInsertNew Registration  10/15/2019 3:42 PM
DetailsStateInsertNew Registration Pending10/15/2019 3:42 PM
DatesRegistration DateInsertNew Registration 10/15/2019 3:42:40 PM10/15/2019 3:42 PM
DatesSigned By DateInsertNew Registration  10/15/2019 3:42 PM
DatesStart DateInsertNew Registration  10/15/2019 3:42 PM
TerminationsTermination CommentsInsertNew Registration  10/15/2019 3:42 PM
TerminationsTermination DateInsertNew Registration  10/15/2019 3:42 PM
TerminationsTermination Effective DateInsertNew Registration  10/15/2019 3:42 PM
TerminationsTermination ReasonInsertNew Registration  10/15/2019 3:42 PM