340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH251335-01 Kemper CAH, Inc d/b/a John C. Stennis Memorial Hospital (Terminated)
Print
Main Details
Name
Kemper CAH, Inc d/b/a John C. Stennis Memorial Hospital
Subdivision Name
ICFC ImmCare Fam Cli JCSC FS03 - RUSH ICFC FAMILY MEDICINE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251335-01
Medicare Provider Number
251335
Outpatient Facility Provider Number
258547
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/11/2013
Last Recertification Date
9/3/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Ochsner Rush Health
David Butler, Chief Financial Officer
(601) 703-3082
Primary Contact
John C. Stennis Memorial Hospital
Willis Kilpatrick, Director of Pharmacy
(769) 486-1055
Addresses
Street Address
1710 14th Streeet
Meridian, MS 39301
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.
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