340B Drug Pricing Program Database

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DSH440002A JACKSON-MADISON COUNTY GENERAL HOSP (Active)

Main Details
JACKSON-MADISON COUNTY GENERAL HOSP
WEST TENNESSEE SURGERY CENTER
Disproportionate Share Hospital
Yes
DSH440002A
440002


Additional Details
Active
4/14/2022
7/1/2022
5/24/2022
8/29/2024

Contacts

West Tennessee Healthcare
Jeff Blankenship, CFO
(731) 541-6739

West Tennessee Healthcare
Dan Wichlan, Director of Pharmacy
(731) 541-5918

Addresses

700 West Forest Ave. Suite 100
JACKSON, TN 38301

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
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  • Parent/Child
  • History
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CommentLast Updated On 
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Participated starting 4/1/2016, terminated 1/1/2018. Reinstated 4/1/2019.02/05/2019
5/5/16Participated starting 10/1/2004, terminated 4/1/2013, reinstated 7/1/201605/05/2016
10/24/08 UPDATED ADDR (WAS 620 SKYLINE DRIVE); 10/23/08 UPDATED ADDR (WAS 637 SKYLINE DRIVE)01/12/2010
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