340B Drug Pricing Program Database
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CAH441303-00 THREE RIVERS HOSPITAL (Active)
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Main Details
Name
THREE RIVERS HOSPITAL
Subdivision Name
Three Rivers Hospital
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH441303-00
Medicare Provider Number
441303
Additional Details
Current Program Status
Active
Registration Date
10/13/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/28/2020
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Three Rivers Hospital
Freda B Russell, CAO
(931) 296-0232
Primary Contact
Ascension Rx
Bridget Caito, 340b Program Manager
(248) 563-8931
Addresses
Street Address
451 HWY 13 S
WAVERLY, TN 37185
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating start 1/1/2014, Terminated 10/1/2019, Reinstatement 1/1/2021
10/28/2020
April 2025
April 2025
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