340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH450508 LION STAR NACOGDOCHES MEMORIAL HOSP (Active)
Print
Main Details
Name
LION STAR NACOGDOCHES MEMORIAL HOSP
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH450508
Medicare Provider Number
450508
Additional Details
Current Program Status
Active
Registration Date
4/9/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/7/2024
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Nacogdoches Memorial Hospital
Rhonda McCabe, CEO
(936) 568-8523
Primary Contact
Nacogdoches Memorial Hospital
Michelle Nash, Infection Control Practitioner
(936) 568-8575
Addresses
Street Address
1204 NORTH MOUND STREET
NACOGDOCHES, TX 75961
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Participated starting 4/1/2019, terminated 10/1/2021. Reinstated 7/1/2024.
05/06/2024
Participated starting 9/9/2005, terminated 10/1/2018. Reinstated 4/1/2019.
02/12/2019
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session