340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH370054 Grady Memorial Hospital (Terminated)
Print
Main Details
Name
Grady Memorial Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370054
Medicare Provider Number
370054
Additional Details
Current Program Status
Terminated
Registration Date
5/25/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/20/2012
Last Recertification Date
8/31/2016
Termination Date
Termination Reason
1/1/2018
DSH percentage below statutory minimum
Contacts
Authorizing Official
Grady Memorial Hospital
KEAN SPELLMAN, CEO
(405) 779-2150
Primary Contact
Grady Memorial Hospital
Michael D Beard, Director of Pharmacy
(405) 779-2262
Addresses
Street Address
2220 W. Iowa
Chickasha, OK 73018-2700
Billing Address
Same as Street Address
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.
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