340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH420078F Prisma Health GREENVILLE MEMORIAL HOSPITAL (Active)
Print
Main Details
Name
Prisma Health GREENVILLE MEMORIAL HOSPITAL
Subdivision Name
Greenville Radiology-Diag Svc
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420078F
Medicare Provider Number
420078
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/18/2012
Participating Start Date
1/1/2013
Participating Approval Date
12/21/2012
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Prisma Greenville Memorial
Barrett Ludley, CFO
(864) 455-6405
Primary Contact
Prisma Health
Abigail Bouknight, Manager 340B
(803) 920-3041
Addresses
Street Address
1210 West Faris Rd.
Greenville, SC 29605
Billing Address
Prisma Health
PO Box 402121
Atlanta, GA 30384
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
12/21/12 Hospital was required by OPA to split original registration into more than one, which is why this registration was submitted after the deadline and signed by the contact person.
12/21/2012
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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