340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH151304-07 RUSH MEMORIAL HOSPITAL (Terminated)
Print
Main Details
Name
RUSH MEMORIAL HOSPITAL
Subdivision Name
RMH Healthcare Associates South
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH151304-07
Medicare Provider Number
151304
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/11/2014
Last Recertification Date
9/1/2016
Termination Date
Termination Reason
1/1/2018
Site closure
Contacts
Authorizing Official
Rush Memorial Hospital
BRADLEY SMITH, CEO
(765) 932-7513
Primary Contact
Rush Memorial Hospital
Greg Pratt, Director of Pharmacy
(765) 932-7497
Addresses
Street Address
110 E 13TH ST
RUSHVILLE, IN 46173-2126
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