340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NORTH BALDWIN FAMILY PHCY
DSH010129 GULF HEALTH HOSPITALS, INC. DBA NORTH BALDWIN INFIRMARY
Print
Covered Entity Details
Entity Name
GULF HEALTH HOSPITALS, INC. DBA NORTH BALDWIN INFIRMARY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH010129
Entity Address
1815 HAND AVE.
BAY MINETTE, AL 36507
Medicare Provider Number
010129
Participating Start Date
7/1/2005
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
NORTH BALDWIN FAMILY PHCY
Pharmacy Address
2012 HAND AVE
BAY MINETTE, AL 36507
Pharmacy Comments
Contract Details
Approval Date
1/7/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/12/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Ben Hansert, ADMINISTRATOR
(251) 937-5521 Ext: 41717
Contract Pharmacy Representative
Blaine Chastang, Owner
(251) 937-9623
Signed By Date
1/7/2016
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