340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCH160080-00 Mercy Medical Center (Terminated)
Print
Main Details
Name
Mercy Medical Center
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH160080-00
Medicare Provider Number
160080
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/17/2014
Last Recertification Date
8/31/2019
Termination Date
Termination Reason
4/1/2020
Change of covered entity type
Contacts
Authorizing Official
MercyOne Clinton
Amy E Berentes, EVP/Chief Operating Officer
(563) 244-5608
Primary Contact
MercyOne Clinton Medical Center
Christine Gallagher, Pharmacy Director
(563) 244-5542
Addresses
Street Address
1410 North 4th St
Clinton, IA 52732
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