340B Drug Pricing Program Database
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DSH340023AV ADVENTHEALTH HENDERSONVILLE (Active)
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Main Details
Name
ADVENTHEALTH HENDERSONVILLE
Subdivision Name
AdventHealth Medical Group Family Medicine at Forge Mountain
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340023AV
Medicare Provider Number
340023
Outpatient Facility Provider Number
340023
Additional Details
Current Program Status
Active
Registration Date
1/13/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/6/2025
Last Recertification Date
Contacts
Authorizing Official
AdventHealth Hendersonville
Steven Burroughs, VP of Finance / CFO
(828) 681-2102
Primary Contact
Adventhealth
Rafael Kirkpatrick, SE Region 340B Coordinator
(956) 466-8487
Addresses
Street Address
127 VANCE HILL DRIVE
MILLS RIVER, NC 28759-4996
Billing Address
AdventHealth Hendersonville
c/o AdventHealth
902 Inspiration Ave.
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2014, terminated 7/1/2024. Reinstated 4/1/2025.
01/27/2025
May 2025
May 2025
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