340B Drug Pricing Program Database
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CAH451384-01 D.M. COGDELL MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
D.M. COGDELL MEMORIAL HOSPITAL
Subdivision Name
DM Cogdell Day Surgery
Type
Critical Access Hospital
Rural
No
340B ID
CAH451384-01
Medicare Provider Number
451384
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/5/2016
Participating Start Date
10/1/2016
Participating Approval Date
9/2/2016
Last Recertification Date
8/18/2021
Termination Date
Termination Reason
4/1/2022
Other
Contacts
Authorizing Official
Scurry County Hospital District
John H. Everett, COO
(325) 574-7439
Primary Contact
Scurry County Hospital District
John Bearden, Director, 340B Program
(325) 574-7421
Addresses
Street Address
1700 Cogdell Blvd
Snyder, TX 79549
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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