340B Drug Pricing Program Database
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CAH441300-00 HICKMAN COMMUNITY HOSPITAL (Active)
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Main Details
Name
HICKMAN COMMUNITY HOSPITAL
Subdivision Name
DBA SAINT THOMAS HICKMAN HOSPITAL
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH441300-00
Medicare Provider Number
441300
Additional Details
Current Program Status
Active
Registration Date
10/26/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/8/2010
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Ascension Saint Thomas
Brandon M Williams, TN Ministry Market CFO Saint Thomas
(615) 284-6845
Primary Contact
Ascension Rx
Bridget Caito, 340b Program Manager
(248) 563-8931
Addresses
Street Address
135 EAST SWAN STREET
CENTERVILLE, TN 37033
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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