340B Drug Pricing Program Database
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DSH340096A LEXINGTON MEMORIAL HOSPITAL, INC. (Terminated)
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Main Details
Name
LEXINGTON MEMORIAL HOSPITAL, INC.
Subdivision Name
Hematology Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340096A
Medicare Provider Number
340096
Outpatient Facility Provider Number
340096
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/8/2013
Last Recertification Date
8/27/2019
Termination Date
Termination Reason
1/1/2020
DSH percentage below statutory minimum
Contacts
Authorizing Official
Lexington Memorial Hospital, Inc.
DANNY SQUIRES, CFO
(336) 248-5161
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
107 W Medical Park Dr Ste 102
Lexington, NC 27292
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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