340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH100038F SOUTH BROWARD HOSPITAL DISTRICT DBA MEMORIAL REGIONAL HOSPITAL (Terminated)
Print
Main Details
Name
SOUTH BROWARD HOSPITAL DISTRICT DBA MEMORIAL REGIONAL HOSPITAL
Subdivision Name
MEMORIAL CANCER INSTITUTE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100038F
Medicare Provider Number
100038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/2/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/18/2010
Last Recertification Date
8/12/2016
Termination Date
Termination Reason
10/1/2017
Site closure
Contacts
Authorizing Official
Memorial Healthcare System
Peter Powers, CEO, Memorial Regional Hospital
(954) 265-5814
Primary Contact
Memorial Healthcare System
Halena Leah Marcelin, 340B Program Manager
(954) 265-3212
Addresses
Street Address
20801 BISCAYNE BLVD
SUITE #200
AVENTURA, FL 33180
Billing Address
Same as Street Address
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
4/7/2010- AMDP- NETWORK- SOUTH BROWARD HOSPITAL DISTRICT; 12/18/09 AMDP APPROVED ON 10/15/09
06/18/2010
4/7/2010- AMDP- NETWORK- SOUTH BROWARD HOSPITAL DISTRICT; 12/18/09 AMDP APPROVED ON 10/15/09
06/18/2010
08/26/11 updated addr.(was 20950 NE 27 COURT SUITE #203) 4/7/2010- AMDP- NETWORK- SOUTH BROWARD HOSPITAL DISTRICT;12/18/09 AMDP APPROVED ON 10/15/09
06/02/2010
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