340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH151320-00 JAY COUNTY HOSPITAL (Terminated)
Print
Main Details
Name
JAY COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH151320-00
Medicare Provider Number
151320
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2015
Participating Start Date
1/1/2016
Participating Approval Date
12/11/2015
Last Recertification Date
11/3/2017
Termination Date
Termination Reason
4/1/2018
Loss of qualifying hospital status
Contacts
Authorizing Official
Jay County Hospital
Don Michael, CFO
(260) 726-7131 Ext: 1018
Primary Contact
Jay County Hospital
David Hyatt, CEO
(260) 726-7131
Addresses
Street Address
500 W. VOTAW
PORTLAND, IN 47371
Billing Address
Same as Street Address
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
12/11/15 When CAH151320-00 was decertified effective 10/1/15, the three outpatient facility registrations submitted during the quarter were not deleted due to a system glitch, leaving them active from 10/1/15 thru 12/31/15 with no corresponding active parent hospital record
12/11/2015
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