340B Drug Pricing Program Database
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DSH010112 Whitfield Regional Hospital (Active)
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Main Details
Name
Whitfield Regional Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH010112
Medicare Provider Number
010112
Additional Details
Current Program Status
Active
Registration Date
1/10/2008
Participating Start Date
4/1/2005
Participating Approval Date
1/10/2008
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Whitfield Regional Hospital
Doug Brooker, CFO
(334) 287-2529
Primary Contact
Whitfield Regional Hospital
Becki Moore Bumgarner, 340B Program Coordinator
(334) 287-2541
Addresses
Street Address
105 US HIGHWAY 80 EAST
DEMOPOLIS, AL 36732
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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1/10/08 UPDATED ENTITY NAME (WAS THE TOMBIGBEE HEALTHCARE AUTHORITY)
01/08/2010
April 2025
April 2025
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