340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH180017T TJ SAMSON COMMUNITY HOSPITAL (Terminated)
Print
Main Details
Name
TJ SAMSON COMMUNITY HOSPITAL
Subdivision Name
RENAL DIALYSIS - RENAL DIALYSIS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180017T
Medicare Provider Number
180017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/3/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/16/2018
Last Recertification Date
9/3/2019
Termination Date
Termination Reason
4/1/2020
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
TJ Regional Health
Neil Thornbury, CEO
(270) 651-4159
Primary Contact
TJ Regional Health
John Thomas Rogers, Compliance Officer
(270) 651-4513
Addresses
Street Address
310 N. L. ROGERS WELLS BLVD
GLASGOW, KY 42141-1300
Billing Address
TJ SAMSON COMMUNITY HOSPITAL
1301 NORTH RACE STREET
GLASGOW, KY 42141
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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