340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DUNCAN REGIONAL HOSPITAL
CAH371311-00 JEFFERSON COUNTY HOSPITAL
Print
Covered Entity Details
Entity Name
JEFFERSON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH371311-00
Entity Address
9170 US Hwy 70
INTERSECTION HWY 70 & 81
WAURIKA, OK 73573
Medicare Provider Number
371311
Participating Start Date
1/1/2017
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
DUNCAN REGIONAL HOSPITAL
Pharmacy Address
DUNCAN REGIONAL HOSPITAL INC
2621 WHISENANT DRIVE
DUNCAN, OK 73533
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/19/2022
Agreement registered in error
Contacts
Covered Entity Signing Official
Roger L Neal, VP & Chief Operating Officer
(580) 251-8555
Contract Pharmacy Representative
Duncan Regional Hospitial
Dana Strawn Berryhill, Director Pharmacy
(580) 251-8784
Signed By Date
10/15/2018
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