340B Drug Pricing Program Database
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DSH180018U ST CLAIRE MEDICAL CENTER INC (Terminated)
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Main Details
Name
ST CLAIRE MEDICAL CENTER INC
Subdivision Name
ST CLAIRE FAMILY MEDICINE- EXPRESS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180018U
Medicare Provider Number
180018
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/5/2016
Last Recertification Date
9/7/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
St. Claire Medical Center
Chris McClurg, VP FINANCIAL SERVICES/CFO
(606) 783-6587
Primary Contact
St. Claire Healthcare
Caitlin Marie Guerin, Director of Pharmacy
(606) 783-6693
Addresses
Street Address
316 West 2nd Street
MOREHEAD, KY 40351
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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