340B Drug Pricing Program Database
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CAH151319-00 Gibson General Hospital, Inc (Active)
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Main Details
Name
Gibson General Hospital, Inc
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH151319-00
Medicare Provider Number
151319
Additional Details
Current Program Status
Active
Registration Date
10/13/2011
Participating Start Date
1/1/2012
Participating Approval Date
11/3/2011
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Deaconess Health System
Keith Garrett Miller, Regional President
(812) 996-0507
Primary Contact
Deaconess Hospital
Sarah Laramie, 340B Coordinator
(270) 631-2476
Addresses
Street Address
1808 Sherman Drive
Princeton, IN 47670
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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