340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH361320-00 HOLZER MEDICAL CENTER-JACKSON (Active)
Print
Main Details
Name
HOLZER MEDICAL CENTER-JACKSON
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH361320-00
Medicare Provider Number
361320
Additional Details
Current Program Status
Active
Registration Date
1/24/2011
Participating Start Date
4/1/2011
Participating Approval Date
2/10/2011
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Holzer
Michael P Haynes, EVP/CFO
(740) 446-5743
Primary Contact
Holzer
Mary Ann Clemente, 340B Compliance Analyst
(740) 446-5803
Addresses
Street Address
500 BURLINGTON ROAD
JACKSON, OH 45640
Billing Address
HOLZER MEDICAL CENTER-JACKSON
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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