340B Drug Pricing Program Database
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CAH251322-01 LAIRD HOSPITAL, INC. (Active)
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Main Details
Name
LAIRD HOSPITAL, INC.
Subdivision Name
RHC Decatur Med Clin LRDC HW27 - RUSH DFMC FAMILY MEDICINE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251322-01
Medicare Provider Number
251322
Outpatient Facility Provider Number
258505
Additional Details
Current Program Status
Active
Registration Date
7/1/2013
Participating Start Date
10/1/2013
Participating Approval Date
7/9/2013
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Ochsner Rush Health
David Butler, Chief Financial Officer
(601) 703-3082
Primary Contact
Laird Hospital
Kristin McDonald, Director of Pharmacy
(601) 774-1558
Addresses
Street Address
14884 Highway 15
Decatur, MS 39327
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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