340B Drug Pricing Program Database


HV02601A CAPE COD HOSPITAL (Active) - information as of 6/16/2025 11:23:46 PM

Main Details
CAPE COD HOSPITAL
Ryan White Part C Outpatient EIS Program at Falmouth Hospital
Ryan White Part C
HV02601A
H76HA00764


Additional Details
Active
1/15/2020
4/1/2020
2/18/2020
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

100 Ter Heun Drive
Falmouth, MA 02540

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

Same as Street Address
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
HYANNISMA02601-523002/18/202004/01/2020  04/01/2020
Contract DetailCAPE COD HEALTHCARE PHARMACY AT FALMOUTH100 TER HEUN DR
FALMOUTHMA02540-250302/18/202004/01/2020  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 9:55:40 AM2/20/2025 3:18:02 PM2/20/2025 3:18 PM
ContactsPrimary ContactUpdateRecertificationHand, Kevin Assistant Controller Cape Cod Healthcare 7744705542Hand, Kevin Corporate Controller Cape Cod Healthcare 77447055422/20/2025 3:17 PM
DetailsLast Recertification DateUpdateRecertification2/7/2023 4:18:35 PM2/7/2024 9:55:40 AM2/7/2024 9:55 AM
DetailsNOFO NumberUpdate HRSA-22-014 12/16/2023 10:34 AM
DetailsAssistance Received From DateUpdateRecertification4/1/2018 12:00:00 AM4/1/2022 12:00:00 AM2/7/2023 4:18 PM
DetailsAssistance Received To DateUpdateRecertification3/31/2022 12:00:00 AM3/31/2025 12:00:00 AM2/7/2023 4:18 PM
DetailsLast Recertification DateUpdateRecertification2/4/2022 10:06:48 AM2/7/2023 4:18:35 PM2/7/2023 4:18 PM
DetailsNOFO NumberUpdateRecertificationHRSA-18-004HRSA-22-0142/7/2023 4:18 PM
Medicaid BillingMedicaid: NumberDeleteRecertification110108134 (MA) 2/4/2022 10:06 AM
Medicaid BillingNPI: NumberDeleteRecertification1457713232 (MA) 2/4/2022 10:06 AM
Medicaid BillingNPI: NumberDeleteRecertification1588101380 (MA) 2/4/2022 10:06 AM
DetailsLast Recertification DateUpdateRecertification2/25/2021 6:56:41 AM2/4/2022 10:06:48 AM2/4/2022 10:06 AM
ContactsPrimary ContactUpdateChange RequestFuller, Scott Executive Director - Revenue, Finance, & Reimbursement Cape Cod Healthcare 7744705535Hand, Kevin Assistant Controller Cape Cod Healthcare 77447055425/18/2021 1:27 PM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False2/25/2021 6:56 AM
Medicaid BillingMedicaid: NumberInsertRecertification 1101081342/25/2021 6:56 AM
Medicaid BillingMedicaid: StateInsertRecertification MA2/25/2021 6:56 AM
Medicaid BillingNPI: NumberInsertRecertification 14577132322/25/2021 6:56 AM
Medicaid BillingNPI: StateInsertRecertification MA2/25/2021 6:56 AM
Medicaid BillingNPI: NumberInsertRecertification 15881013802/25/2021 6:56 AM
Medicaid BillingNPI: StateInsertRecertification MA2/25/2021 6:56 AM
DetailsAssistance Received From DateUpdateRecertification 4/1/2018 12:00:00 AM2/25/2021 6:56 AM
DetailsAssistance Received To DateUpdateRecertification 3/31/2022 12:00:00 AM2/25/2021 6:56 AM
DetailsLast Recertification DateUpdateRecertification 2/25/2021 6:56:41 AM2/25/2021 6:56 AM
DetailsNOFO NumberUpdateRecertification HRSA-18-0042/25/2021 6:56 AM
DetailsStateUpdate ApprovedActive4/1/2020 12:05 AM
ContactsSigned ByInsertNew Registration Al-Hachem, Valerie Nicole Infectious Disease Director & Grants Administrator Cape Cod Hospital - Infectious Disease Clinical Services 50886256392/18/2020 11:01 AM
Details340B IDUpdateNew Registration HV02601A2/18/2020 11:01 AM
DatesParticipating Approval DateUpdateNew Registration 2/18/2020 11:01:39 AM2/18/2020 11:01 AM
DetailsStateUpdateNew RegistrationPendingApproved2/18/2020 11:01 AM
DatesSigned By DateUpdateNew Registration 1/15/2020 4:17:53 PM2/18/2020 11:01 AM
DatesStart DateUpdateNew Registration 4/1/2020 12:00:00 AM2/18/2020 11:01 AM
AddressesMain AddressInsertNew Registration  100 Ter Heun Drive Falmouth, MA 025401/15/2020 4:17 PM
AddressesBilling AddressInsertNew Registration CAPE COD HOSPITAL 27 PARK STREET HYANNIS, MA 026011/15/2020 4:17 PM
ContactsPrimary ContactInsertNew Registration Fuller, Scott Executive Director - Revenue, Finance, & Reimbursement Cape Cod Healthcare 77447055351/15/2020 4:17 PM
ContactsAuthorizing OfficialInsertNew Registration Al-Hachem, Valerie Nicole Infectious Disease Director & Grants Administrator Cape Cod Hospital - Infectious Disease Clinical Services 50886256391/15/2020 4:17 PM
DetailsLast Recertification DateInsertNew Registration  1/15/2020 4:17 PM
DetailsGrant NumberInsertNew Registration H76HA007641/15/2020 4:17 PM
Details340B IDInsertNew Registration  1/15/2020 4:17 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  1/15/2020 4:17 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  1/15/2020 4:17 PM
DetailsMedicare Provider NumberInsertNew Registration  1/15/2020 4:17 PM
DetailsEntity NameInsertNew Registration CAPE COD HOSPITAL1/15/2020 4:17 PM
DetailsProgram CodeInsertNew Registration HV1/15/2020 4:17 PM
DetailsEntity SubnameInsertNew Registration Ryan White Part C Outpatient EIS Program at Falmouth Hospital1/15/2020 4:17 PM
DatesParticipating Approval DateInsertNew Registration  1/15/2020 4:17 PM
DetailsStateInsertNew Registration Pending1/15/2020 4:17 PM
DatesRegistration DateInsertNew Registration 1/15/2020 4:17:48 PM1/15/2020 4:17 PM
DatesSigned By DateInsertNew Registration  1/15/2020 4:17 PM
DatesStart DateInsertNew Registration  1/15/2020 4:17 PM
TerminationsTermination CommentsInsertNew Registration  1/15/2020 4:17 PM
TerminationsTermination DateInsertNew Registration  1/15/2020 4:17 PM
TerminationsTermination Effective DateInsertNew Registration  1/15/2020 4:17 PM
TerminationsTermination ReasonInsertNew Registration  1/15/2020 4:17 PM