340B Drug Pricing Program Database
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NOBLE HEALTH SERVICES INC.
DSH450352 Hunt Regional Medical Center
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Covered Entity Details
Entity Name
Hunt Regional Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH450352
Entity Address
4215 Joe Ramsey Blvd
Greenville, TX 75401
Medicare Provider Number
450352
Participating Start Date
1/1/2013
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
NOBLE HEALTH SERVICES INC.
Pharmacy Address
6040 TARBELL ROAD
SYRACUSE, NY 13206
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/23/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
James Ayers Robertson, Chief Financial Officer
(903) 408-1607
Contract Pharmacy Representative
KPH Healthcare Services, Inc.
Debbi Barber, 340B Program Director
(315) 287-3600 Ext: 2423
Signed By Date
10/17/2022
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