340B Drug Pricing Program Database
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CAH451323-00 AdventHealth Rollins Brook (Active)
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Main Details
Name
AdventHealth Rollins Brook
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH451323-00
Medicare Provider Number
451323
Additional Details
Current Program Status
Active
Registration Date
9/27/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/23/2010
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
AdventHealth Central Texas
Janet Garcia, Chief Financial Officer
(682) 459-7140
Primary Contact
AdventHealth
Dustin Lott Jones, 340B Coordinator
(254) 833-1495
Addresses
Street Address
608 North Key Avenue
LAMPASAS, TX 76550
Billing Address
AdventHealth Rollins Brook
c/o AdventHealth
902 Inspiration Avenue
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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