340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH330211B CLAXTON HEPBURN MEDICAL CENTER (Terminated)
Print
Main Details
Name
CLAXTON HEPBURN MEDICAL CENTER
Subdivision Name
HAMMOND HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH330211B
Medicare Provider Number
330211
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/28/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/31/2022
Last Recertification Date
8/24/2023
Termination Date
Termination Reason
4/1/2024
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Claxton-Hepburn Medical Center
Richard Duvall, CEO
(315) 713-5237
Primary Contact
Claxton Hepburn Medical Center
Danny Sekhon, Director of Pharmacy
(315) 713-5685
Addresses
Street Address
225 ST LAWRENCE AVENUE
HAMMOND, NY 13646
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating from effective date: (10/1/2012) until terminated effective date: (10/1/2013), reinstatement effective date: (4/1/2022)
01/31/2022
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