340B Drug Pricing Program Database
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CH045207J CUMBERLAND FAMILY MEDICAL CENTER, INC. (Terminated)
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Main Details
Name
CUMBERLAND FAMILY MEDICAL CENTER, INC.
Subdivision Name
Greensburg Health Care
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012579
340B ID
CH045207J
Grant Number
H80CS08218
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2013
Participating Start Date
10/1/2013
Participating Approval Date
8/27/2013
Last Recertification Date
2/18/2021
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Cumberland Family Medical Center
Eric Loy, CEO
(270) 864-2889
Primary Contact
Cumberland Family Medical Center
Mona Staton, Director of 340B Services
(270) 864-2889
Addresses
Street Address
2680 Campbellsville Rd
Greensburg, KY 42743-8898
Billing Address
Cumberland Family Medical Center, Inc
PO Box 2399
Russell Springs, KY 42642
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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