340B Drug Pricing Program Database
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DSH440132A HENRY COUNTY MEDICAL CENTER (Terminated)
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Main Details
Name
HENRY COUNTY MEDICAL CENTER
Subdivision Name
HENRY COUNTY MEDICAL CENTER SURGERY - HCMC SURGERY CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH440132A
Medicare Provider Number
440132
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/23/2020
Last Recertification Date
8/26/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Henry County Medical Center
John Robert Tucker, CEO
(731) 644-8478
Primary Contact
Henry County Medical Center
Paula Carter Bell, Director of Pharmacy
(731) 644-8579
Addresses
Street Address
1002 CONERSTONE DRIVE
SUITE B
PARIS, TN 38242-5846
Billing Address
HENRY COUNTY MEDICAL CENTER
301 TYSON AVE
PARIS, TN 38242
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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