340B Drug Pricing Program Database


CAH181315-05 FORT LOGAN HOSPITAL (Active) - information as of 6/19/2025 11:46:00 PM

Main Details
FORT LOGAN HOSPITAL
RURAL HEALTH CLINIC - DANVILLE FAMILY PHYSICIANS
Critical Access Hospital
Yes
CAH181315-05
181315


Additional Details
Active
1/13/2020
4/1/2020
1/17/2020
8/13/2024

Contacts

Fort Logan Hospital/James B. Haggin Hospital
Lynne Warner Lynn, Hospital Administrator
(859) 239-2329

Ephraim McDowell Health
Megan N Curtis, 340B Program Coordinator
(859) 239-1727

Addresses

109 DANIEL DR
DANVILLE, KY 40422-2527

Same as Street Address


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

Yes
StateMedicaid NumberNPI Number
KY010002231417436221
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
CAH181315-01ChildCAHFORT LOGAN HOSPITALEphraim McDowell Garrard Clinic - Ephraim McDowell Garrard Clinic405 Danville StreetLancasterKYActive
CAH181315-02ChildCAHFORT LOGAN HOSPITALLiberty Family Medical Center - Liberty Family Medical Center511 Middleburg StreetLibertyKYActive
CAH181315-03ChildCAHFORT LOGAN HOSPITALNorth Garrard Family Medical Center - North Garrard Family Medical Center510 Camp Dick RoadLancasterKYActive
CAH181315-04ChildCAHFORT LOGAN HOSPITALStanford Medical Park - Stanford Medical Park110 Metker TrailStanfordKYActive
CAH181315-05ChildCAHFORT LOGAN HOSPITALRURAL HEALTH CLINIC - DANVILLE FAMILY PHYSICIANS109 DANIEL DRDANVILLEKYActive
CAH181315-06ChildCAHFORT LOGAN HOSPITALEPHRAIM MCDOWELL INTERNAL MEDICINE - CLINIC - EPHRAIM MCDOWELL INTERNAL MEDICINE640 E LEXINGTON AVEDANVILLEKYActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateGroup Change RequestHaltom, Joan B System Director of Pharmacy Ephraim McDowell Health 8592391721Curtis, Megan N 340B Program Coordinator Ephraim McDowell Health 859239172712/19/2024 8:58 AM
DetailsLast Recertification DateUpdateRecertification8/30/2023 10:33:30 PM8/13/2024 5:10:15 PM8/13/2024 5:10 PM
ContactsPrimary ContactUpdateGroup Change RequestCurtis, Megan N 340B Program Coordinator Ephraim McDowell Health 8592391727Haltom, Joan B System Director of Pharmacy Ephraim McDowell Health 85923917217/24/2024 6:51 AM
ContactsPrimary ContactUpdateProfile Change RequestBallard, Megan N 340b Program Coordinator Ephraim McDowell Health 8592391727Curtis, Megan N 340B Program Coordinator Ephraim McDowell Health 85923917279/7/2023 1:20 PM
ContactsAuthorizing OfficialUpdateChange RequestDean, Jason Administrator Ephraim McDowell Fort Logan Hospital 6063654697Lynn, Lynne Warner Hospital Administrator Fort Logan Hospital/James B. Haggin Hospital 85923923299/7/2023 12:05 PM
DetailsLast Recertification DateUpdateRecertification8/30/2022 1:11:31 PM8/30/2023 10:33:30 PM8/30/2023 10:33 PM
DetailsLast Recertification DateUpdateRecertification8/17/2021 3:45:44 PM8/30/2022 1:11:31 PM8/30/2022 1:11 PM
ContactsAuthorizing OfficialUpdateChange RequestGlass, Ina Louise Administrator Ephraim McDowell Fort Logan Hospital 6063654788Dean, Jason Administrator Ephraim McDowell Fort Logan Hospital 606365469712/14/2021 3:14 PM
DetailsLast Recertification DateUpdateRecertification8/28/2020 10:48:55 AM8/17/2021 3:45:44 PM8/17/2021 3:45 PM
Medicaid BillingNPI: StateUpdateRecertification KY8/28/2020 10:48 AM
DetailsLast Recertification DateUpdateRecertification 8/28/2020 10:48:55 AM8/28/2020 10:48 AM
DetailsStateUpdate ApprovedActive4/1/2020 12:05 AM
ContactsSigned ByInsertNew Registration Glass, Ina Louise Administrator Ephraim McDowell Fort Logan Hospital 60636547881/17/2020 12:40 PM
Details340B IDUpdateNew Registration CAH181315-051/17/2020 12:40 PM
DetailsEntity SubnameUpdateNew RegistrationRURAL HEALTH CLINICRURAL HEALTH CLINIC - DANVILLE FAMILY PHYSICIANS1/17/2020 12:40 PM
DatesParticipating Approval DateUpdateNew Registration 1/17/2020 12:40:34 PM1/17/2020 12:40 PM
DetailsStateUpdateNew RegistrationPendingApproved1/17/2020 12:40 PM
DatesSigned By DateUpdateNew Registration 1/15/2020 9:44:47 AM1/17/2020 12:40 PM
DatesStart DateUpdateNew Registration 4/1/2020 12:00:00 AM1/17/2020 12:40 PM
AddressesMain AddressInsertNew Registration  109 DANIEL DR DANVILLE, KY 40422-25271/13/2020 4:55 PM
Medicaid BillingMedicaid: Is PrimaryInsertNew Registration False1/13/2020 4:55 PM
Medicaid BillingMedicaid: NumberInsertNew Registration 010002231/13/2020 4:55 PM
Medicaid BillingMedicaid: StateInsertNew Registration KY1/13/2020 4:55 PM
Medicaid BillingNPI: NumberInsertNew Registration 14174362211/13/2020 4:55 PM
ContactsAuthorizing OfficialInsertNew Registration Glass, Ina Louise Administrator Ephraim McDowell Fort Logan Hospital 60636547881/13/2020 4:55 PM
ContactsPrimary ContactInsertNew Registration Ballard, Megan N 340b Program Coordinator Ephraim McDowell Health 85923917271/13/2020 4:55 PM
DetailsLast Recertification DateInsertNew Registration  1/13/2020 4:55 PM
DetailsGrant NumberInsertNew Registration  1/13/2020 4:55 PM
Details340B IDInsertNew Registration  1/13/2020 4:55 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/13/2020 4:55 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/13/2020 4:55 PM
DetailsMedicare Provider NumberInsertNew Registration 1813151/13/2020 4:55 PM
DetailsEntity NameInsertNew Registration FORT LOGAN HOSPITAL1/13/2020 4:55 PM
DetailsProgram CodeInsertNew Registration CAH1/13/2020 4:55 PM
DetailsEntity SubnameInsertNew Registration RURAL HEALTH CLINIC1/13/2020 4:55 PM
DatesParticipating Approval DateInsertNew Registration  1/13/2020 4:55 PM
DetailsStateInsertNew Registration Pending1/13/2020 4:55 PM
DatesRegistration DateInsertNew Registration 1/13/2020 4:55:58 PM1/13/2020 4:55 PM
DatesSigned By DateInsertNew Registration  1/13/2020 4:55 PM
DatesStart DateInsertNew Registration  1/13/2020 4:55 PM
TerminationsTermination CommentsInsertNew Registration  1/13/2020 4:55 PM
TerminationsTermination DateInsertNew Registration  1/13/2020 4:55 PM
TerminationsTermination Effective DateInsertNew Registration  1/13/2020 4:55 PM
TerminationsTermination ReasonInsertNew Registration  1/13/2020 4:55 PM