340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH281326-03 Antelope Memorial Hospital (Active)
Print
Main Details
Name
Antelope Memorial Hospital
Subdivision Name
AMH Elgin Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH281326-03
Medicare Provider Number
281326
Outpatient Facility Provider Number
283472
Additional Details
Current Program Status
Active
Registration Date
8/30/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Antelope Memorial Hospital
Martha Nelson, CFO
(402) 887-6282 Ext: 6282
Primary Contact
Antelope Memorial Hospital
Lesley Flenniken, Pharmacy Tech
(402) 887-6253
Addresses
Street Address
101 West Cedar Street
Elgin, NE 68636-4490
Billing Address
AMH Elgin Clinic
PO Box 109
Neligh, NE 68756-0109
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.
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