340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH010113 MOBILE INFIRMARY MEDICAL CENTER (Terminated)
Print
Main Details
Name
MOBILE INFIRMARY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010113
Medicare Provider Number
010113
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/5/2017
Last Recertification Date
9/7/2023
Termination Date
Termination Reason
10/1/2024
Failure to recertify
Contacts
Authorizing Official
Mobile Infirmary
Lee Ann Cain, Vice President
(251) 279-1510
Primary Contact
Mobile Infirmary
Michelle Wheat, 340B Coordinator
(251) 435-2683
Addresses
Street Address
FIVE MOBILE INFIRMARY CIRCLE
MOBILE, AL 36607
Billing Address
Mobile Infirmary Medical Center
PO Box 2144
Mobile, AL 36652
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating 1/1/2016 until terminated effective 10/1/206, reinstated effective 1/1/2018.
10/05/2017
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