340B Drug Pricing Program Database

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DSH010039 HUNTSVILLE HOSPITAL (Terminated)

Main Details
HUNTSVILLE HOSPITAL
Disproportionate Share Hospital
No
DSH010039
010039


Additional Details
Terminated
1/10/2020
4/1/2020
2/25/2020
9/2/2020

12/1/2020
At request of covered entity

Contacts

Huntsville Hospital
Clinton Carter, CFO
(256) 265-8818

Huntsville Hospital
Luona Wang, Business Manager of Pharmacy Services
(256) 265-6241

Addresses

101 SIVLEY ROAD
HUNTSVILLE, AL 35801

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
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  • History
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Participating from effective date: (02/24/2010), until terminated effective date: (01/01/2016), reinstatement effective date: (04/01/2020). 01/15/2020
7/22/11 UPDATED PHYS ADD (WAS 101 SIVLEY ROAD ); 3/11/2011- ADDED NPI#; 7/28/10 BILL/SHIP TO ADDED - 2/24/2010-DOCUMENTS RECD TO CONFIRM ELIGIBLE DSH ADJ%; 11/16/11 - UPDATED SHIP TO(WAS HUNTSVILLE HOSPITAL 911 BIG COVE ROAD SE) 11/16/2011
7/22/11 UPDATED PHYS ADD (WAS 101 SIVLEY ROAD ); 3/11/2011- ADDED NPI#; 7/28/10 BILL/SHIP TO ADDED - 2/24/2010-DOCUMENTS RECD TO CONFIRM ELIGIBLE DSH ADJ%;07/22/2011
3/11/2011- ADDED NPI#; 7/28/10 BILL/SHIP TO ADDED - 2/24/2010-DOCUMENTS RECD TO CONFIRM ELIGIBLE DSH ADJ%;03/11/2011
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