340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH110036 MEMORIAL HEALTH UNIVERSITY MED CENTER (Terminated)
Print
Main Details
Name
MEMORIAL HEALTH UNIVERSITY MED CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110036
Medicare Provider Number
110036
Additional Details
Current Program Status
Terminated
Registration Date
9/7/2007
Participating Start Date
1/1/2004
Participating Approval Date
9/7/2007
Last Recertification Date
11/29/2017
Termination Date
Termination Reason
4/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Memorial Health
LAURA DOW, VP/CFO
(912) 350-8613
Primary Contact
Memorial Health University Medical Center
Sandra Jarrell, 340-B Coordinator
(912) 350-8252
Addresses
Street Address
4700 WATERS AVENUE
SAVANNAH, GA 31404
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
03/02/2012 added NPI
03/02/2012
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