340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH181310-03 CARROLL COUNTY MEMORIAL HOSPITAL (Terminated)
Print
Main Details
Name
CARROLL COUNTY MEMORIAL HOSPITAL
Subdivision Name
Carroll County Family Practice/Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181310-03
Medicare Provider Number
181310
Outpatient Facility Provider Number
183985
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/3/2014
Last Recertification Date
8/15/2018
Termination Date
Termination Reason
4/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Carroll Co Hospital
Kimberly Haverly, CEO
(502) 732-3275
Primary Contact
Carroll Co. Hospital
Larry L Abplanalp, Director Pharmacy
(812) 599-2859
Addresses
Street Address
309 11th St
Carrollton, KY 41008
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.
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