340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH321308-00 CIBOLA GENERAL HOSPITAL (Active)
Print
Main Details
Name
CIBOLA GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH321308-00
Medicare Provider Number
321308
Additional Details
Current Program Status
Active
Registration Date
1/12/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/9/2021
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Cibola general hospital
jim hermes, CFO
(505) 287-5302
Primary Contact
Cibola General Hospital
LeeAnn Scheer, Pharmacist
(512) 789-8341
Addresses
Street Address
1016 ROOSEVELT AVE
GRANTS, NM 87020
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Participated starting 10/1/2012; Terminated 10/1/2020; Reinstated 4/1/2021.
03/09/2021
Participated starting 8/21/2012; Terminated on 10/1/2020; Reinstated 4/1/2021.
03/08/2021
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
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