340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH360076U ATRIUM MEDICAL CENTER (Active)
Print
Main Details
Name
ATRIUM MEDICAL CENTER
Subdivision Name
AMC SWO SC OR - Operating Room
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360076U
Medicare Provider Number
360076
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/8/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/17/2020
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Premier Health
Craig Allen Ganger, Chief Financial Officer
(937) 499-9988
Primary Contact
Premier Health
SHELLY STIDHAM, 340B Coordinator
(937) 838-5767
Addresses
Street Address
295 N Breiel Blvd
Middletown, OH 45042
Billing Address
Atrium Medical Center
110 North Main Street
Dayton, OH 45402
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participated starting 10/1/2018, terminated 7/1/2019. Reinstated 10/1/2020.
08/12/2020
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session