340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH370020 Mercy Hospital ADA Inc. (Active)
Print
Main Details
Name
Mercy Hospital ADA Inc.
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH370020
Medicare Provider Number
370020
Additional Details
Current Program Status
Active
Registration Date
11/30/2005
Participating Start Date
3/15/2022
Participating Approval Date
12/1/2005
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Mercy
Tammi Harmoning, Chief Financial Officer
(479) 338-2267
Primary Contact
Mercy Shared Services
Mike Loftus, Director-Hospital Pharmacy
(417) 820-3487
Addresses
Street Address
430 N. MONTE VISTA
ADA, OK 74820
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
3/28/2014 Incorrect termination of DSH370020 reversed; only DSH370020A should have been terminated.
03/28/2014
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