340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CHC26576-06 Five Rivers Health Centers (Terminated)
Print
Main Details
Name
Five Rivers Health Centers
Subdivision Name
Samaritan Homeless Clinic at Key Terrace
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021646
340B ID
CHC26576-06
Grant Number
H80CS26576
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/3/2018
Last Recertification Date
1/29/2019
Termination Date
Termination Reason
1/1/2020
Site closure
Contacts
Authorizing Official
Five Rivers Health Centers
Diane M. Cummins, Chief Operating Officer
(937) 281-5942
Primary Contact
Five Rivers Health Centers
John Howard Tomlin, Pharmacy Director
(937) 281-6825
Addresses
Street Address
3908 Wilmington Pike
Dayton, OH 45429-5053
Billing Address
Five Rivers Health Centers
2261 Philadelphia Drive
Suite 200
Dayton, OH 45406
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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