340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH451398-01 Prime Healthcare Services Pampa LLC d/b/a Pampa Regional Medical Center (Active)
Print
Main Details
Name
Prime Healthcare Services Pampa LLC d/b/a Pampa Regional Medical Center
Subdivision Name
PAMPA MEDICAL GROUP: RURAL HEALTH CLINIC - Rural Health Clinic
Type
Critical Access Hospital
Rural
No
340B ID
CAH451398-01
Medicare Provider Number
451398
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/21/2023
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Pampa Regional Medical Center
Jonathan Gill, CEO
(405) 887-0411
Primary Contact
Pampa Regional Medical Center
Derek Smith, Director of Pharmacy
(806) 663-5601
Addresses
Street Address
3023 PERRYTON PKWY
PAMPA, TX 79065
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.
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