340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCH370020-00 MERCY HOSPITAL ADA (Terminated)
Print
Main Details
Name
MERCY HOSPITAL ADA
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH370020-00
Medicare Provider Number
370020
Additional Details
Current Program Status
Terminated
Registration Date
1/14/2022
Participating Start Date
2/7/2022
Participating Approval Date
1/31/2022
Last Recertification Date
Termination Date
Termination Reason
3/15/2022
Change of covered entity type
Contacts
Authorizing Official
Mercy
Morris W. Brown, Executive Director - Finance
(580) 421-6128
Primary Contact
Mercy
Mike Loftus, Director-Pharmacy Services
(417) 820-3487
Addresses
Street Address
430 NORTH MONTE VISTA
ADA, OK 74820
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