340B Drug Pricing Program Database
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CAH251322-03 LAIRD HOSPITAL, INC. (Terminated)
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Main Details
Name
LAIRD HOSPITAL, INC.
Subdivision Name
Rush Central Clinic LRDC TA01 - RUSH RCCC FAMILY MEDICINE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251322-03
Medicare Provider Number
251322
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/15/2014
Last Recertification Date
9/3/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
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
1221 24th Avenue
Meridian, MS 39301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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