340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH141327-12 Wabash General Hospital District (Active)
Print
Main Details
Name
Wabash General Hospital District
Subdivision Name
WABASH GENERAL HOSPITAL DISTRICT - Wabash General Hospital Primary Care Grayville
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141327-12
Medicare Provider Number
141327
Outpatient Facility Provider Number
148613
Additional Details
Current Program Status
Active
Registration Date
7/1/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/13/2021
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Wabash General Hospital
Lynn Leek, Chief Financial Officer
(618) 263-6375
Primary Contact
WABASH GENERAL HOSPITAL DISTRICT
Tyler Ditch, Hospital Controller
(618) 263-6378
Addresses
Street Address
610 N COURT ST
GRAYVILLE, IL 62844-1002
Billing Address
WABASH GENERAL HOSPITAL DISTRICT
1418 College Drive
Mount Carmel, IL 62863
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.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
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