340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC010005-03 MARSHALL MEDICAL CENTER SOUTH (Terminated)
Print
Main Details
Name
MARSHALL MEDICAL CENTER SOUTH
Subdivision Name
MARSHALL MEDICAL CENTER NORTH - Marshall North - Surgery/PACU
Type
Rural Referral Center
Rural
Yes
340B ID
RRC010005-03
Medicare Provider Number
010005
Outpatient Facility Provider Number
010005
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/28/2014
Last Recertification Date
8/5/2015
Termination Date
Termination Reason
4/1/2016
Change of covered entity type
Contacts
Authorizing Official
Marshall Medical Centers
GARY R. GORE, CEO
(256) 894-6611
Primary Contact
Marshall Medical Center South
KATHY B. NELSON, CFO
(256) 894-6701
Addresses
Street Address
8000 AL HIGHWAY 69
GUNTERSVILLE, AL 35976-7140
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