340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH440032 HAWKINS COUNTY MEMORIAL HOSPITAL (Terminated)
Print
Main Details
Name
HAWKINS COUNTY MEMORIAL HOSPITAL
Subdivision Name
WELLMONT HEALTH SYSTEM
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH440032
Medicare Provider Number
440032
Additional Details
Current Program Status
Terminated
Registration Date
4/16/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/10/2018
Last Recertification Date
9/10/2018
Termination Date
Termination Reason
1/1/2019
DSH percentage below statutory minimum
Contacts
Authorizing Official
Ballad Health
Shane Hilton, EVP, Chief Financial Officer
(423) 302-3467
Primary Contact
Ballad Health
Trish Tanner, VP, Chief Pharmacy Officer
(423) 302-3532
Addresses
Street Address
851 LOCUST STREET
ROGERSVILLE, TN 37857
Billing Address
Hawkins County Memorial Hospital
P.O. Box 659
Kingsport, TN 37662
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
3
of
3
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
3
of
3
Page:
of 1
Go
Page size:
Change
Initial start 7/1/2009, terminated 10/1/2016, Reinstate 7/1/2018
05/02/2018
4/5/12 ADDED SUBDIV NAME; 04/20/11 UPDATED ADDR(WAS 851 LOCUST STREET)
04/05/2012
04/20/11 UPDATED ADDR(WAS 851 LOCUST STREET)
04/20/2011
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