340B Drug Pricing Program Database
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CAH341322-00 AdventHealth Polk (Active)
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Main Details
Name
AdventHealth Polk
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH341322-00
Medicare Provider Number
341322
Additional Details
Current Program Status
Active
Registration Date
4/13/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/11/2017
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
AdventHealth-Polk
Elizabeth Weathers Presnell, Executive Director Finance
(828) 894-0954
Primary Contact
Adventhealth
Rafael Kirkpatrick, SE Region 340B Coordinator
(956) 466-8487
Addresses
Street Address
101 HOSPITAL DRIVE
COLUMBUS, NC 28722
Billing Address
AdventHealth Polk
c/o AdventHealth
902 Inspiration Avenue
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2011; Terminated on 7/1/2012; Reinstated 7/1/2017.
05/11/2017
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