340B Drug Pricing Program Database
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DSH440050D Greeneville Community Hospital (Terminated)
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Main Details
Name
Greeneville Community Hospital
Subdivision Name
Takoma Medical Associates-General and Vascular Surgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH440050D
Medicare Provider Number
440050
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/29/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/19/2012
Last Recertification Date
9/12/2022
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Ballad Health
Shane Hilton, EVP, Chief Financial Officer
(423) 302-3467
Primary Contact
Ballad Health
Trish Tanner, AVP, Cheif Pharmacy Officer
(423) 302-3532
Addresses
Street Address
438 E. Vann Rd
Suite 200
Greeneville, TN 37743-7202
Billing Address
WELLMONT HEALTH SYSTEM
PO BOX 659
KINGSPORT, TN 37662
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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