340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH251325-03 COVINGTON COUNTY HOSPITAL (Terminated)
Print
Main Details
Name
COVINGTON COUNTY HOSPITAL
Subdivision Name
Family Care Main Street
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251325-03
Medicare Provider Number
251325
Outpatient Facility Provider Number
258563
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/3/2013
Last Recertification Date
11/8/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Covington County Hospital
Gregg Gibbes, CEO
(601) 765-6711
Primary Contact
Covington County Hospital
Delilah Hudson, Controller
(601) 765-6711 Ext: 126
Addresses
Street Address
210 Main Street
Collins, MS 39428
Billing Address
Family Care Main Street
701 S Holly Ave
Collins, MS 39428
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