340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC150082-26 DEACONESS HOSPITAL (ToBeTerminated)
Print
Main Details
Name
DEACONESS HOSPITAL
Subdivision Name
Midwest Radiology OA Gateway (8717) - Midwest Radiology OA GW
Type
Rural Referral Center
Rural
Yes
340B ID
RRC150082-26
Medicare Provider Number
150082
Outpatient Facility Provider Number
Additional Details
Current Program Status
ToBeTerminated
Registration Date
10/12/2021
Participating Start Date
10/20/2021
Participating Approval Date
10/28/2021
Last Recertification Date
8/14/2024
Termination Date
Termination Reason
7/1/2025
Site closure
Contacts
Authorizing Official
Deaconess Hospital
Cheryl Wathen, Chief Financial Officer
(812) 450-3296
Primary Contact
Deaconess Hospital
Sarah Laramie, 340B Coordinator
(270) 631-2476
Addresses
Street Address
10455 Orthopaedic Dr
Newburgh, IN 47630
Billing Address
Same as Street Address
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