340B Drug Pricing Program Database
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DSH340096F LEXINGTON MEMORIAL HOSPITAL, INC. (Terminated)
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Main Details
Name
LEXINGTON MEMORIAL HOSPITAL, INC.
Subdivision Name
Cardiology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340096F
Medicare Provider Number
340096
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/8/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/29/2016
Last Recertification Date
8/16/2018
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Lexington Memorial Hospital, Inc.
DANNY SQUIRES, CFO
(336) 248-5161
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
14 Medical Park Drive
Lexington, NC 27292
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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