Yes
NC | 49-0004-00 | 1669844908,1841203452,1851301444,1780694372 |
VA | 49-0004-00 | 1669844908,1841203452,1851301444,1780694372 |
SCH490004-01 | Child | SCH | SENTARA RMH MEDICAL CENTER | Sentara Rheumatology Specialists - Clinic | 2509 Pleasant Run Drive | Harrisonburg | VA | Active |
SCH490004-02 | Child | SCH | SENTARA RMH MEDICAL CENTER | Sentara Neurology Specialists - Clinic | 2006 Health Campus Drive | Harrisonburg | VA | Active |
SCH490004-03 | Child | SCH | SENTARA RMH MEDICAL CENTER | Sentara Hematology and Oncology Associates - Clinic | 2008 Health Campus Drive | Harrisonburg | VA | Active |
SCH490004-04 | Child | SCH | SENTARA RMH MEDICAL CENTER | Sentara Pulmonology and Critical Care Specialists - Clinic | 2006 Health Campus Drive | Harrisonburg | VA | Active |
SCH490004-05 | Child | SCH | SENTARA RMH MEDICAL CENTER | Sentara Advanced Imaging Center - Clinic | 2509 Pleasant Run Drive | Harrisonburg | VA | Active |
SCH490004-06 | Child | SCH | SENTARA RMH MEDICAL CENTER | Sentara Cardiology Specialists - Clinic | 2006 Health Campus Drive | Harrisonburg | VA | Active |
SCH490004-07 | Child | SCH | SENTARA RMH MEDICAL CENTER | Sentara RMH Infusion - Oncology and Treatment Center | 2006 Health Campus Drive | Harrisonburg | VA | Terminated |
SCH490004-08 | Child | SCH | SENTARA RMH MEDICAL CENTER | SRMG INFECTIOUS DISEASE - Infectious Disease Clinic | 2006 HEALTH CAMPUS DR | ROCKINGHAM | VA | Active |
SCH490004-09 | Child | SCH | SENTARA RMH MEDICAL CENTER | SRMG ORTHOPEDICS AND SPORTS MED - Ortho Clinic | 2509 PLEASANT RUN DR | HARRISONBURG | VA | Active |
Details | State | Update | | To Be Terminated | Terminated | 1/1/2024 12:01 AM |
Dates | Last Date That 340B Drugs Purchased | Update | Termination Request | | 7/13/2023 12:00:00 AM | 12/20/2023 8:08 AM |
Details | State | Update | Termination Request | Active | To Be Terminated | 12/20/2023 8:08 AM |
Terminations | Termination Comments | Update | Termination Request | | infusion center address determined to be same as the parent hospital. Therefore this is not a child site, but part of the parent. No 340B drugs purchased to this point. | 12/20/2023 8:08 AM |
Terminations | Termination Date | Update | Termination Request | | 1/1/2024 12:00:00 AM | 12/20/2023 8:08 AM |
Terminations | Termination Effective Date | Update | Termination Request | | 7/13/2023 12:00:00 AM | 12/20/2023 8:08 AM |
Terminations | Termination Reason | Update | Termination Request | | Other | 12/20/2023 8:08 AM |
Details | State | Update | | Approved | Active | 10/1/2023 12:01 AM |
Addresses | Main Address | Insert | New Registration | |
2006 Health Campus Drive
Harrisonburg, VA 22801 | 9/7/2023 7:46 AM |
Addresses | Billing Address | Insert | New Registration | | Sentara RMH Medical Center
6015 Poplar Hall Drive
Norfolk, VA 23502 | 9/7/2023 7:46 AM |
Contacts | Signed By | Insert | New Registration | | Moyer, Douglas
President
Sentara RMH Medical Center
5406891251 | 9/7/2023 7:46 AM |
Details | 340B ID | Update | New Registration | | SCH490004-07 | 9/7/2023 7:46 AM |
Details | Entity Subname | Update | New Registration | Sentara RMH Pharmacy Infusion | Sentara RMH Infusion - Oncology and Treatment Center | 9/7/2023 7:46 AM |
Dates | Participating Approval Date | Update | New Registration | | 9/7/2023 7:46:28 AM | 9/7/2023 7:46 AM |
Details | State | Update | New Registration | Pending | Approved | 9/7/2023 7:46 AM |
Dates | Signed By Date | Update | New Registration | | 9/6/2023 5:09:53 PM | 9/7/2023 7:46 AM |
Dates | Start Date | Update | New Registration | | 10/1/2023 12:00:00 AM | 9/7/2023 7:46 AM |
Addresses | Main Address | Insert | New Registration | |
2006 Health Campus Drive
Harrisonburg, VA 22801 | 7/13/2023 2:17 PM |
Addresses | Billing Address | Insert | New Registration | | Sentara RMH Medical Center
6015 Poplar Hall Drive
Norfolk, VA 23502 | 7/13/2023 2:17 PM |
Medicaid Billing | Medicaid: Is Primary | Insert | New Registration | | False | 7/13/2023 2:17 PM |
Medicaid Billing | Medicaid: Number | Insert | New Registration | | 49-0004-00 | 7/13/2023 2:17 PM |
Medicaid Billing | Medicaid: State | Insert | New Registration | | NC | 7/13/2023 2:17 PM |
Medicaid Billing | Medicaid: Is Primary | Insert | New Registration | | False | 7/13/2023 2:17 PM |
Medicaid Billing | Medicaid: Number | Insert | New Registration | | 49-0004-00 | 7/13/2023 2:17 PM |
Medicaid Billing | Medicaid: State | Insert | New Registration | | VA | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1669844908 | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: State | Insert | New Registration | | NC | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1841203452 | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: State | Insert | New Registration | | NC | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1851301444 | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: State | Insert | New Registration | | NC | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1780694372 | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: State | Insert | New Registration | | NC | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1669844908 | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: State | Insert | New Registration | | VA | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1841203452 | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: State | Insert | New Registration | | VA | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1851301444 | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: State | Insert | New Registration | | VA | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: Number | Insert | New Registration | | 1780694372 | 7/13/2023 2:17 PM |
Medicaid Billing | NPI: State | Insert | New Registration | | VA | 7/13/2023 2:17 PM |
Contacts | Authorizing Official | Insert | New Registration | | Moyer, Douglas
President
Sentara RMH Medical Center
5406891251 | 7/13/2023 2:17 PM |
Contacts | Primary Contact | Insert | New Registration | | Adkins, Laura
Pharmacy Manager
Sentara RMH Medical Center
5406892374 | 7/13/2023 2:17 PM |
Details | Assistance Received From Date | Insert | New Registration | | | 7/13/2023 2:17 PM |
Details | Assistance Received To Date | Insert | New Registration | | | 7/13/2023 2:17 PM |
Details | Last Recertification Date | Insert | New Registration | | | 7/13/2023 2:17 PM |
Details | Grant Number | Insert | New Registration | | | 7/13/2023 2:17 PM |
Details | 340B ID | Insert | New Registration | | | 7/13/2023 2:17 PM |
Details | Is Authorizing Official EHB Data | Insert | New Registration | | | 7/13/2023 2:17 PM |
Dates | Last Date That 340B Drugs Purchased | Insert | New Registration | | | 7/13/2023 2:17 PM |
Details | Medicare Provider Number | Insert | New Registration | | 490004 | 7/13/2023 2:17 PM |
Details | Entity Name | Insert | New Registration | | SENTARA RMH MEDICAL CENTER | 7/13/2023 2:17 PM |
Details | NOFO Number | Insert | New Registration | | | 7/13/2023 2:17 PM |
Details | Program Code | Insert | New Registration | | SCH | 7/13/2023 2:17 PM |
Details | Entity Subname | Insert | New Registration | | Sentara RMH Pharmacy Infusion | 7/13/2023 2:17 PM |
Dates | Participating Approval Date | Insert | New Registration | | | 7/13/2023 2:17 PM |
Details | State | Insert | New Registration | | Pending | 7/13/2023 2:17 PM |
Dates | Registration Date | Insert | New Registration | | 7/13/2023 2:17:00 PM | 7/13/2023 2:17 PM |
Dates | Signed By Date | Insert | New Registration | | | 7/13/2023 2:17 PM |
Dates | Start Date | Insert | New Registration | | | 7/13/2023 2:17 PM |
Terminations | Termination Comments | Insert | New Registration | | | 7/13/2023 2:17 PM |
Terminations | Termination Date | Insert | New Registration | | | 7/13/2023 2:17 PM |
Terminations | Termination Effective Date | Insert | New Registration | | | 7/13/2023 2:17 PM |
Terminations | Termination Reason | Insert | New Registration | | | 7/13/2023 2:17 PM |