340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH171350-01 Russell Regional Hospital (Terminated)
Print
Main Details
Name
Russell Regional Hospital
Subdivision Name
Russell Regional Hospital Physicians Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH171350-01
Medicare Provider Number
171350
Outpatient Facility Provider Number
178504
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/15/2014
Last Recertification Date
11/6/2017
Termination Date
Termination Reason
4/1/2018
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Russell Regional Hospital
Sharon J Collins, CEO
(785) 483-0708
Primary Contact
West Central Kansas Association
Randy Moyers, Pharmacist - DOP
(785) 485-3131 Ext: 261
Addresses
Street Address
200 S. Main
Russell, KS 67665
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.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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