340B Drug Pricing Program Database
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DSH010029C EAST ALABAMA MEDICAL CENTER (Active)
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Main Details
Name
EAST ALABAMA MEDICAL CENTER
Subdivision Name
AUBURN DIAGNOSTIC IMAGING
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010029C
Medicare Provider Number
010029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/3/2008
Participating Start Date
10/1/2004
Participating Approval Date
6/3/2008
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
East Alabama Medical Center
SAM PRICE, CFO
(334) 528-1313
Primary Contact
East Alabama Medical Center
Dana Caypless, Manager of Purchasing and 340B Compliance
(334) 528-2565
Addresses
Street Address
900 Camp Auburn Road
AUBURN, AL 36849-0001
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/31/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %
06/03/2008
April 2025
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