340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH010164 COOSA VALLEY MEDICAL CENTER (Active)
Print
Main Details
Name
COOSA VALLEY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010164
Medicare Provider Number
010164
Additional Details
Current Program Status
Active
Registration Date
11/30/2005
Participating Start Date
12/1/2005
Participating Approval Date
12/1/2005
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Coosa Valley Medical Center
Brad McCormick, CFO
(256) 401-4534
Primary Contact
Coosa Valley Medical Center
Roger Morris, Director of Pharmacy
(256) 401-4066
Addresses
Street Address
315 W. HICKORY STREET
SYLACAUGA, AL 35150
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
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