340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH010091B GROVE HILL MEMORIAL HOSPITAL (Active)
Print
Main Details
Name
GROVE HILL MEMORIAL HOSPITAL
Subdivision Name
GROVE HILL HEALTHCARE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH010091B
Medicare Provider Number
010091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/21/2020
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Grove Hill Memorial Hospital
Kenneth Larrimore, COO
(251) 275-3191
Primary Contact
Grove Hill Memorial Hospital
Allen H Jordan, Pharmacy Manager
(251) 275-3191
Addresses
Street Address
295-B SOUTH JACKSON ST
GROVE HILL, AL 36451
Billing Address
GROVE HILL MEMORIAL HOSPITAL
PO BOX 935
GROVE HILL, AL 36451
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
Participating start date 1/1/2008. Terminated 10/1/2015. Reinstated 4/1/2020.
01/16/2020
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
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