340B Drug Pricing Program Database
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DSH340023A ADVENTHEALTH HENDERSONVILLE (Active)
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Main Details
Name
ADVENTHEALTH HENDERSONVILLE
Subdivision Name
AdventHealth Hematology Oncology Infusion Services Hendersonville
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340023A
Medicare Provider Number
340023
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/7/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/25/2025
Last Recertification Date
Contacts
Authorizing Official
AdventHealth Hendersonville
Steven Burroughs, VP of Finance / CFO
(828) 681-2102
Primary Contact
Adventhealth
Rafael Kirkpatrick, SE Region 340B Coordinator
(956) 466-8487
Addresses
Street Address
50 HOSPITAL DRIVE
Suite 4B
HENDERSONVILLE, NC 28792-5246
Billing Address
AdventHealth Hendersonville
c/o AdventHealth
902 Inspiration Ave.
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2005, terminated 7/1/2024. Reinstated 4/1/2025.
02/13/2025
03/01/2012 added Bill to; 6/24/10 UPDATED ENTITY NAME (WAS PARK RIDGE HOSPITAL); 12/5/07 UPDATED ADDR (WAS 95 DOCTORS DRIVE); 8/11/08 DOCUMENTATION SUBMITTED TO CONFIRM ELIGIBLE ADJSUTMENT PERCENTAGE
03/01/2012
6/24/10 UPDATED ENTITY NAME (WAS PARK RIDGE HOSPITAL); 12/5/07 UPDATED ADDR (WAS 95 DOCTORS DRIVE); 8/11/08 DOCUMENTATION SUBMITTED TO CONFIRM ELIGIBLE ADJSUTMENT PERCENTAGE
01/21/2010
6/24/10 UPDATED ENTITY NAME (WAS PARK RIDGE HOSPITAL); 12/5/07 UPDATED ADDR (WAS 95 DOCTORS DRIVE); 8/11/08 DOCUMENTATION SUBMITTED TO CONFIRM ELIGIBLE ADJSUTMENT PERCENTAGE
01/21/2010
May 2025
May 2025
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