340B Drug Pricing Program Database
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CAH011305-01 St. Vincent's Blount (Active)
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Main Details
Name
St. Vincent's Blount
Subdivision Name
ST. VINCENT'S PRIMARY CARE - ONEONT - Primary Care Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH011305-01
Medicare Provider Number
011305
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/5/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/10/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
St. Vincent's Blount
Gregory Dale Brown, Administrator
(205) 274-3010
Primary Contact
UAB St. Vincent's Blount
Amanda Neeley Hughes, Pharmacy Manager
(205) 274-3337
Addresses
Street Address
150 GILBREATH DR
ONEONTA, AL 35121-2827
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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