340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH151330-01 ADAMS COUNTY MEMORIAL HOSPITAL DBA ADAMS MEMORIAL HOSPITAL (Terminated)
Print
Main Details
Name
ADAMS COUNTY MEMORIAL HOSPITAL DBA ADAMS MEMORIAL HOSPITAL
Subdivision Name
OUTPATIENT BEHAVIOR HEALTH
Type
Critical Access Hospital
Rural
No
340B ID
CAH151330-01
Medicare Provider Number
151330
Outpatient Facility Provider Number
151330
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/4/2014
Last Recertification Date
8/13/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Adams Memorial Hospital
Scott Smith, Executive Director
(260) 724-2145 Ext: 11002
Primary Contact
TONY CURRIE, DIR OF PHARMACY
(260) 724-2145 Ext: 2604
Addresses
Street Address
200 NORTH HOSPITAL CIRCLE DRIVE
DECATUR, IN 46733
Billing Address
ADAMS COUNTY MEMORIAL HOSPITAL
1100 Mercer Avenue
DECATUR, IN 46733
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.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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