340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH420051B MCLEOD REGIONAL MEDICAL CENTER (Terminated)
Print
Main Details
Name
MCLEOD REGIONAL MEDICAL CENTER
Subdivision Name
McLeod Employee Health Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH420051B
Medicare Provider Number
420051
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/9/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/25/2012
Last Recertification Date
8/7/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
McLeod Health
S. Fulton Ervin, III, Senior Vice President Finance and Chief Financial Officer
(843) 777-2917
Primary Contact
DSH Hospital
Deronda Dru Clay, AVP Business Office Services
(843) 610-8494
Addresses
Street Address
135 North Ravenel Street
Florence, SC 29506
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