340B Drug Pricing Program Database
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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
CAH061336-00 Arkansas Valley Regional Medical Center (Active)
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Main Details
Name
Arkansas Valley Regional Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH061336-00
Medicare Provider Number
061336
Additional Details
Current Program Status
Active
Registration Date
4/18/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/24/2017
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Arkansas Valley Regional Medical Center
David Andrew Flemer, Jr, CEO
(719) 383-6000
Primary Contact
Arkansas Valley Regional Medical Center
Andrew Grover, Director of Pharmacy
(719) 383-6219
Addresses
Street Address
1100 Carson Avenue
La Junta, CO 81050
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/21/17 participating as DSH 7/1/14 until terminated effective 7/1/17 due to transition to CAH
04/24/2017
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