340B Drug Pricing Program Database
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DSH010091D GROVE HILL MEMORIAL HOSPITAL (Active)
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Main Details
Name
GROVE HILL MEMORIAL HOSPITAL
Subdivision Name
GROVE HILL PRIMARY CARE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH010091D
Medicare Provider Number
010091
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/4/2020
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Grove Hill Memorial Hospital
Kenneth Larrimore, COO
(251) 275-3191
Primary Contact
Grove Hill Memorial Hospital
Allen H Jordan, Pharmacy Manager
(251) 275-3191
Addresses
Street Address
297 S JACKSON ST
GROVE HILL, AL 36451-3231
Billing Address
GROVE HILL MEMORIAL HOSPITAL
PO BOX 915
GROVE HILL, AL 36451-0915
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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