340B Drug Pricing Program Database
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CH045207KR CUMBERLAND FAMILY MEDICAL CENTER, INC. (Active)
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Main Details
Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
Wayne County Healthy Kids Clinic Annex
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039470
340B ID
CH045207KR
Grant Number
H80CS08218
Additional Details
Current Program Status
Active
Registration Date
1/15/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/23/2025
Last Recertification Date
Contacts
Authorizing Official
Cumberland Family Medical Center
Ryan Smith, CFO
(270) 858-6655
Primary Contact
Cumberland Family Medical Center
Mona Staton, Director of 340B Services
(270) 864-2889
Addresses
Street Address
676 Worsham Ln
Monticello, KY 42633-1067
Billing Address
Cumberland Family Medical Center
PO Box 2399
Russell Springs, KY 42642-4264
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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