340b covered entity terminations list effective 4/01/2015 (527 … · 340b covered entity...

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340B Covered Entity Terminations List Effective 4/01/2015 (527 total entities listed) Row Num 340B ID Entity Name Entity Sub-Division Name City State 1 CAH041300-00 MERCY HOSPITAL PARIS PARIS AR 2 CAH041303-00 MERCY HOSPITAL OZARK OZARK AR 3 CAH041305-00 MERCY HOSPITAL WALDRON WALDRON AR 4 CAH051329-00 SUTTER LAKESIDE HOSPITAL LAKEPORT CA 5 CAH051329-01 SUTTER LAKESIDE HOSPITAL FAMILY MEDICINE CLINIC LAKEPORT CA 6 CAH161372-02 BOONE COUNTY HOSPITAL BCFM - Ogden Ogden IA 7 CAH191325-07 LAFOURCHE HOSPITAL SERVICE DISTRICT #1 DBA LADY OF THE SEA GENERAL HOSPITAL SURGICAL CLINIC CUT OFF LA 8 CAH251315-02 Baptist Medical Center - Leake, Inc. Baptist Leake Medical Clinic - Carthage CARTHAGE MS 9 CAH281350-03 Johnson County Hospital Johnson County Medical Center Tecumseh NE 10 CAH381303-01 PROVIDENCE HEALTH DBA PROVIDENCE SEASIDE HOSPITAL PMG Clinic Astoria Astoria OR 11 CAH501312-01 PROSSER MEMORIAL HOSPITAL PROSSER PUBLIC HOSPITAL DISTRICT OF/PMH FAMILY MEDICINE PROSSER WA 12 CAH501312-02 PROSSER MEMORIAL HOSPITAL PMH OCCUPATIONAL HEALTH PROSSER WA 13 CH01007AB CORNELL SCOTT-HILL HEALTH CORPORATION OVERFLOW SHELTER HOMELESS OUTREACH New Haven CT 14 CH01007R CORNELL SCOTT-HILL HEALTH CORPORATION DERBY DENTAL CLINIC Derby CT 15 CH01081D South-West Community Health Center, Inc. BROOKS STREET SHELTER Bridgeport CT This list may not include all terminations due to individual extenuating circumstances Please review the entity record in the 340B program database for additional termination details Page 1 of 26

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Page 1: 340B Covered Entity Terminations List Effective 4/01/2015 (527 … · 340B Covered Entity Terminations List Effective 4/01/2015 (527 total entities listed) ... Marana Community Correctional

340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

1 CAH041300-00 MERCY HOSPITAL PARIS PARIS AR

2 CAH041303-00 MERCY HOSPITAL OZARK OZARK AR

3 CAH041305-00 MERCY HOSPITAL WALDRON WALDRON AR

4 CAH051329-00 SUTTER LAKESIDE HOSPITAL LAKEPORT CA

5 CAH051329-01 SUTTER LAKESIDE HOSPITAL FAMILY MEDICINE CLINIC LAKEPORT CA

6 CAH161372-02 BOONE COUNTY HOSPITAL BCFM - Ogden Ogden IA

7 CAH191325-07

LAFOURCHE HOSPITAL SERVICE DISTRICT #1 DBA

LADY OF THE SEA GENERAL HOSPITAL SURGICAL CLINIC CUT OFF LA

8 CAH251315-02 Baptist Medical Center - Leake, Inc. Baptist Leake Medical Clinic - Carthage CARTHAGE MS

9 CAH281350-03 Johnson County Hospital Johnson County Medical Center Tecumseh NE

10 CAH381303-01

PROVIDENCE HEALTH DBA PROVIDENCE SEASIDE

HOSPITAL PMG Clinic Astoria Astoria OR

11 CAH501312-01 PROSSER MEMORIAL HOSPITAL

PROSSER PUBLIC HOSPITAL DISTRICT OF/PMH

FAMILY MEDICINE PROSSER WA

12 CAH501312-02 PROSSER MEMORIAL HOSPITAL PMH OCCUPATIONAL HEALTH PROSSER WA

13 CH01007AB CORNELL SCOTT-HILL HEALTH CORPORATION OVERFLOW SHELTER HOMELESS OUTREACH New Haven CT

14 CH01007R CORNELL SCOTT-HILL HEALTH CORPORATION DERBY DENTAL CLINIC Derby CT

15 CH01081D South-West Community Health Center, Inc. BROOKS STREET SHELTER Bridgeport CT

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 1 of 26

Page 2: 340B Covered Entity Terminations List Effective 4/01/2015 (527 … · 340B Covered Entity Terminations List Effective 4/01/2015 (527 total entities listed) ... Marana Community Correctional

340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

16 CH01458AF PENOBSCOT COMMUNITY HEALTH CENTER, INC. RIVERSIDE LONG TERM CARE HOME BREWER ME

17 CH01458AI PENOBSCOT COMMUNITY HEALTH CENTER, INC. YOUNG'S HOME CARE OLD TOWN ME

18 CH01458AJ PENOBSCOT COMMUNITY HEALTH CENTER, INC. MORSE MANOR OLD TOWN ME

19 CH01458F PENOBSCOT COMMUNITY HEALTH CENTER, INC. PENOBSCOT JOB CORPS CLINIC BANGOR ME

20 CH01458T PENOBSCOT COMMUNITY HEALTH CENTER, INC. EASTERN MAINE AIDS NETWORK BANGOR ME

21 CH01458Z PENOBSCOT COMMUNITY HEALTH CENTER, INC. ESSEX STREET BOARDING HOUSE BANGOR ME

22 CH02127P COMMUNITY HEALTH CARE, INC

WILDWOOD CREST COMMUNITY HEALTH

CENTER

WILDWOOD

CREST NJ

23 CH03079H COMMUNITY HEALTH SYSTEMS, INC. AccessHealth Carriage Drive Clinic Beckley WV

24 CH03079R COMMUNITY HEALTH SYSTEMS, INC. AccessHealth Eisenhower Drive Clinic Beckley WV

25

CH030880HO0

1 VALLEY HEALTH SYSTEMS, INC. MILAN-PUSKAR HEALTH RIGHT Morgantown WV

26 CH03088AL Valley Health Systems, Inc. Valley Health Point Pleasant Women's Health Point Pleasant WV

27 CH03088AS Valley Health Systems, Inc. Valley Health Lakeside Elementary Hurricane WV

28 CH03088B Valley Health Systems, Inc. WEST VIRGINIA HEALTH RIGHT Charleston WV

29 CH031060F

ALEXANDRIA NEIGHBORHOOD HEALTH SERVICE

INC

Alexandria Neighborhood Health Services, Inc.

- Engleside, Fairfax County South Alexandria VA

30 CH03260G NEW RIVER HEALTH ASSOCIATION, INC. BEARDS FORK COMMUNITY CENTER ROBSON WV

31 CH03301F

THREE LOWER COUNTIES COMMUNITY

SERVICES, INC. WELLMOBILE PRINCESS ANNE MD

32 CH03309F CORNERSTONE CARE, INC.

CORNERSTONE CARE WAYNESBURG

UNIVERSITY HEALTH CENTER WAYNESBURG PA

33 CH03378C QUALITY COMMUNITY HEALTH CARE, INC. FINLEY FAMILY HEALTH CENTER PHILADELPHIA PA

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 2 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

34 CH03378E QUALITY COMMUNITY HEALTH CARE, INC. VAUX FAMILY HEALTH CENTER PHILADELPHIA PA

35 CH04038W NORTH FLORIDA MEDICAL CENTERS, INC. TAYLOR DENTAL CENTER Perry FL

36 CH04090J TRI COUNTY COMMUNITY HEALTH COUNCIL, INC

CommWell Health of Ocean Isle Beach-

Medical Ocean Isle Beach NC

37 CH04126B ERLANGER HEALTH SYSTEM T.C. THOMPSON CHILDRENS CARE CENTER CHATTANOOGA TN

38 CH041279L RURAL HEALTH SERVICES CONSORTIUM WEST MAIN MEDICAL CENTER ROGERSVILLE TN

39 CH04168P Family Health Centers of SW Florida, Inc Bonita Springs Medicare Office Bonita Springs FL

40 CH04196B BIRMINGHAM HEALTH CARE INC MARKS VILLAGE HEALTH CENTER Birmingham AL

41 CH04403P

HEALTH & HUMAN SERVICES, NORTH CAROLINA

DEPARTMENT OF Vecinos, Inc. CASHIERS NC

42 CH045211B FIRST CHOICE PRIMARY CARE, INC.

Mobile Medical Unit and Mobile Care to

Homeless Macon GA

43 CH04690E OAKHURST MEDICAL CENTERS KENSINGTON MEDICAL OFFICE DECATUR GA

44 CH04690F OAKHURST MEDICAL CENTERS WINN WAY MEDICAL OFFICE DECATUR GA

45 CH05006L COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS Woodstock IL

46 CH05021B BALDWIN FAMILY HEALTH CARE FAMILY HEALTH CARE - WHITE CLOUD White Cloud MI

47 CH051070K OPEN DOOR HEALTH SERVICES, INC. Gateway Health Center Muncie IN

48 CH051780

NEIGHBORHOOD HEALTH ASSOCIATION OF

TOLEDO, INC.

NEIGHBORHOOD HEALTH ASSOCIATION OF

TOLEDO Toledo OH

49 CH05183A INGHAM COUNTY HEALTH DEPARTMENT SPARROW COMMUNITY HEALTH CENTER LANSING MI

50 CH05183B INGHAM COUNTY HEALTH DEPARTMENT ST. LAWRENCE COMMUNITY HEALTH CENTER Lansing MI

51 CH05662G ALIVIO MEDICAL CENTER, INC

John Spry Community (Elementary) School &

Community Links High School Chicago IL

52 CH05662H ALIVIO MEDICAL CENTER, INC Alivio Medical Center Cicero IL

53 CH05696C SOUTHSIDE COMMUNITY HEALTH SERVICES ST. CROIX FAMILY MEDICAL CLINIC STILLWATER MN

54 CH05972AK AUNT MARTHA'S YOUTH SERVICE CENTER, INC.

Aunt Martha's St Francis Community Health

Center at USF Joliet IL

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 3 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

55 CH05972AL AUNT MARTHA'S YOUTH SERVICE CENTER, INC.

Aunt Martha's St. Francis Community Health

Center Joliet IL

56 CH06084D SU CLINICA FAMILIAR SCF-RAYMONDVILLE DOWNTOWN CLINIC Raymondville TX

57 CH06094AP ARCARE ARcare-100 MELBOURNE AR

58 CH06123J CENTRO DE SALUD FAMILIAR LA FE, INC CENTRAL CLINIC El Paso TX

59 CH06123K CENTRO DE SALUD FAMILIAR LA FE, INC La Fe CARE Center-HIV/AIDS El Paso TX

60 CH061335F ST. CHARLES COMMUNITY HEALTH CENTER, INC.

St Charles Community Health Center -

Destrehan Destrehan LA

61 CH0614120 CACTUS HEALTH SERVICES INC Pearce Clinic - Brewster Alpine TX

62 CH06151F

Brownsville Community Health Clinic

Corporation LUCIO MIDDLE SCH-CAMPUS CARE CTR Brownsville TX

63 CH06151G

Brownsville Community Health Clinic

Corporation BROWNVILLE COMMUNITY - CAMERON PARK BROWNSVILLE TX

64 CH061717A FOURTH WARD CLINIC

Fourth Ward Clinic, Inc. d.b.a. Good Neighbor

Healthcare Center - North Houston TX

65 CH06273E MAINLINE HEALTH SYSTEMS INC Arkansas City Community Health Center Arkansas City AR

66 CH06325T El Centro Del Barrio CENTROMED ELDER CARE CENTER SAN ANTONIO TX

67 CH06362A

OKLAHOMA COMMUNITY HEALTH SERVICES,

INC. Tipton Health Center Tipton OK

68 CH07029A SAMUEL U RODGERS HEALTH CENTER, INC.

Samuel U. Rodgers Health Center Northland

Family Medicine & WIC Services Kansas City MO

69 CH07043S Big Springs Medical Association, Inc Wayne County Medical Clinic Greenville MO

70 CH07137L SOUTHEAST MISSOURI HEALTH NETWORK Otto Bean Dental Clinic Kennett MO

71 CH07213C NORTHWEST HEALTH SERVICES, INC. OREGON CLINIC Oregon MO

72 CH07530C FAMILY HEALTH CENTER OF BOONE COUNTY FAMILY DENTAL CENTER - SALISBURY SALISBURY MO

73 CH07720H ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - WESTPORT Springfield MO

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 4 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

74 CH07720K ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - BAILEY Springfield MO

75 CH07720L ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - CENTRAL Springfield MO

76 CH07720M ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - WEAVER Springfield MO

77 CH07720N ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - CAMPBELL Springfield MO

78 CH07720P ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - MCGREGOR Springfield MO

79 CH07720Q ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - PIPKIN Springfield MO

80 CH07720R ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - BOYD Springfield MO

81 CH07720S ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - WILLIAMS Springfield MO

82 CH07720T ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - STUDY Springfield MO

83 CH07720U ADVOCATES FOR A HEALTHY COMMUNITY INC JVCHC - ROBBERSON Springfield MO

84 CH080790 WYOMING HEALTH COUNCIL WYOMING MIGRANT HEALTH PROGRAM CHEYENNE WY

85 CH08079A WYOMING HEALTH COUNCIL Wyoming Migrant Health Program Powell WY

86 CH08103J HORIZON HEALTH CARE INC SPRINGFIELD COMMUNITY HEALTH CENTER Springfield SD

87 CH081260 MOUNTAIN FAMILY HEALTH CENTERS

MOUNTAIN FAMILY HEALTH CENTERS Black

Hawk CENTRAL CITY CO

88 CH09008T MARANA HEALTH CENTER, INC.

Marana Community Correctional Treatment

Facility Marana AZ

89 CH09021R Gardner Family Health Network, Inc. Gardner Packard Children's Health Center Palo Alto CA

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 5 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

90 CH09071Z

COMMUNITY HEALTH CENTERS OF THE CENTRAL

COAST, INC. COMMUNITY HEALTH CENTERS OCEANO OCEANO CA

91 CH09114I SAN MATEO MEDICAL CENTER WILLOW CLINIC MENLO PARK CA

92 CH09114S SAN MATEO MEDICAL CENTER SEQUOIA TEEN WELLNESS CENTER REDWOOD CITY CA

93 CH09130C CANYONLANDS COMMUNITY HEALTH CARE FREDONIA COMMUNITY HEALTH CENTER FREDONIA AZ

94 CH092134C PEDIATRIC & FAMILY MEDICAL CENTER Abram Friedman Occupational Center Los Angeles CA

95 CH092538A SONOMA VALLEY COMMUNITY HEALTH CENTER MENTAL HEALTH SVS - THE ANNEX SONOMA CA

96 CH093307B ST. VINCENT DE PAUL VILLAGE, INC.

St Vincent de Paul Village Family Health

Center-Mobile Health Clinic San Diego CA

97 CH09601A KALIHI-PALAMA HEALTH CENTER SAFE HAVEN CLINIC HONOLULU HI

98 CH09601E KALIHI-PALAMA HEALTH CENTER SUMNER STREET HONOLULU HI

99 CH10015B SISKIYOU COMMUNITY HEALTH CENTER ILLINOIS VALLEY HIGH SCHOOL CAVE JUNCTION OR

100 CH10015C SISKIYOU COMMUNITY HEALTH CENTER EVERGREEN ELEMENTARY SCHOOL CAVE JUNCTION OR

101 CH10015D SISKIYOU COMMUNITY HEALTH CENTER DENTAL CLINIC GRANTS PASS OR

102 CH10015E SISKIYOU COMMUNITY HEALTH CENTER LORNA BYRNE MIDDLE SCHOOL CAVE JUNCTION OR

103 CH10817B DIRNE HEALTH CENTERS, INC. Dirne Health Centers, Dental Clinic Coeur d'Alene ID

104 CHC00054-00 METROPOLITAN DEVELOPMENT COUNCIL, THE MDC HOMELESS SERVICE CENTER Tacoma WA

105 CHC00357-00 TRI-COUNTY HEALTH SYSTEM INC TRI-COUNTY HEALTH SYSTEM, INC WARRENTON GA

106 CHC00357-01 TRI-COUNTY HEALTH SYSTEM INC TRI-COUNTY HEALTH SYSTEM, INC. Gibson GA

107 CHC00357-03 TRI-COUNTY HEALTH SYSTEM INC TRI-COUNTY HEALTH SYSTEM, INC. SPARTA GA

108 CHC00836-00 SOUTH CENTRAL PRIMARY CARE CENTER, INC. OCILLA GA

109 CHC00836-01 SOUTH CENTRAL PRIMARY CARE CENTER South Central Primary Care Center Douglas GA

110 CHC08216-04 COMMUNICARE HEALTH CENTERS

JOHN H. JONES COMMUNITY CLINIC -

WOODLAND WOODLAND CA

111 CHC08235-01 PRESIDIO COUNTY HEALTH SERVICES INC Presidio County Medical Clinic Presidio TX

112 CHC11298-11 TRAVIS COUNTY HEALTHCARE DISTRICT CommUnityCare Montopolis Austin TX

113 CHC11298-13 TRAVIS COUNTY HEALTHCARE DISTRICT CommUnityCare Lifeworks AUSTIN TX

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 6 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

114 CHC11347-03 CARING HANDS HEALTHCARE CENTERS, INC. DENTAL CLINIC MCALESTER OK

115 CHC12851-00 ALL FOR HEALTH HEALTH FOR ALL All for Health, Health for All Glendale CA

116 CHC12851-01 ALL FOR HEALTH HEALTH FOR ALL All for Health, Health for All Glendale CA

117 CHC12890-02 FAIRFIELD COMMUNITY HEALTH CENTER Fairfield Community Health Center - OB/GYN Lancaster OH

118 CHC24110-00 MINERAL REGIONAL HEALTH CENTER, INC.

Mineral Regional Health Center - Superior

Clinic Superior MT

119 CHC24110-01 MINERAL REGIONAL HEALTH CENTER, INC.

Mineral Regional Health Center - St.Regis

Clinic St.Regis MT

120 CHC24110-02 MINERAL REGIONAL HEALTH CENTER, INC.

Mineral Regional Health Center - DeBorgia

Clinic DeBorgia MT

121 CHC24170-01 HEARTLAND MEDICAL CLINIC, INC HCHC at Bert Nash Lawrence KS

122 CHC26516-00 Free Clinic Of The New River Valley Inc Montgomery Clinic Christiansburg VA

123 CHC26516-01 Free Clinic Of The New River Valley Inc Giles Clinic Pearisburg VA

124 CHC26567-00 MERIDIAN SERVICES CORP Meridian Health Services Muncie IN

125 CHC26567-01 MERIDIAN SERVICES CORP Meridian MD, North Tillotson Muncie IN

126 CHC26567-02 MERIDIAN SERVICES CORP

Suzanne Gresham Center Division of Meridian

Services Muncie IN

127 CHC26567-03 MERIDIAN SERVICES CORP Meridian Health Services Rushville IN

128 CHC26567-04 MERIDIAN SERVICES CORP Meridian Muncie Women's Health Center MUNCIE IN

129 CHC26593-00

GOOD SAMARITAN HEALTH CENTER OF COBB,

INC. Good Samaritan Health Center of Cobb Marietta GA

130 CHC26619-00 KEDREN COMMUNITY HEALTH CENTER, INC. Kedren Community Care Clinic Los Angeles CA

131 DSH030010

CARONDELET ST MARY'S HOSPITAL AND HEALTH

CENTER TUCSON AZ

132 DSH030016A Banner Casa Grande Medical Center Urgent Care Casa Grande AZ

133 DSH050006A ST. JOSEPH HOSPITAL

ST JOSEPH HOSPITAL DBA HUMBOLDT HOME

INFUSION PROGRAM EUREKA CA

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 7 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

134 DSH050069A ST. JOSEPH HOSPITAL OF ORANGE

THE CENTER FOR CANCER PREVENTION AND

TREATMENT ORANGE CA

135 DSH050069B St. Joseph Hospital of Orange St. Joseph Outpatient Pavillion Orange CA

136 DSH050191 ST MARY MEDICAL CENTER LONG BEACH CA

137 DSH050191A ST MARY MEDICAL CENTER St. Mary LB Pediatric Clinic Long Beach CA

138 DSH050191B ST MARY MEDICAL CENTER St. Mary LB Antenatal Clinic Long Beach CA

139 DSH050191C ST MARY MEDICAL CENTER St. Mary LB OB Clinic Long Beach CA

140 DSH050191D ST MARY MEDICAL CENTER

St. Mary LB 10th Street Clinic / Bariatrics,

Internal Medicine, Long Beach CA

141 DSH050191E ST MARY MEDICAL CENTER St. Mary LB Family Clinic Long Beach CA

142 DSH050295

Dignity Health d/b/a Mercy Hospital and Mercy

Southwest Hospital Bakersfield CA

143 DSH050295A

Dignity Health d/b/a Mercy Hospital and Mercy

Southwest Hospital Mercy Hospital Infusion/GI Bakersfield CA

144 DSH050295B MERCY HOSPITAL Mercy's Orthopedic, Spine & Hand Center Bakersfield CA

145 DSH050359C TULARE DISTRICT HOSPITAL Kingsburg Healthcare Center Kingsburg CA

146 DSH110008

Northside Hospital - Cherokee, Inc. dba

Northside Cherokee Canton GA

147 DSH110008A Northside Hospital - Cherokee, Inc. GCS - Jasper Jasper GA

148 DSH110008B Northside Hospital - Cherokee, Inc. Cancer Center Canton GA

149 DSH110008C Northside Hospital - Cherokee, Inc.

Northside Cherokee Outpatient Surgery

Center Canton GA

150 DSH110008D Northside Hospital - Cherokee, Inc. Holly Springs Imaging Holly Springs GA

151 DSH110008E Northside Hospital - Cherokee, Inc. Towne Lake Imaging Woodstock GA

152 DSH110008F Northside Hospital - Cherokee, Inc. Riverstone Imaging Canton GA

153 DSH110008G Northside Hospital - Cherokee, Inc.

Rehabilitation Services (Physical

Therapy/Occupational Therapy) Canton GA

154 DSH130007M Saint Alphonsus Regional Medical Center SAMG Curtisian Travel Medicine Boise ID

155 DSH130007S Saint Alphonsus Regional Medical Center SAMG Occupational Medicine EHP Eagle ID

156 DSH130049A KOOTENAI MEDICAL CENTER BOUNDARY COMMUNITY CLINIC BONNERS FERRY ID

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 8 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

157 DSH140158B MERCY HOSPITAL AND MEDICAL CENTER CHINATOWN CHICAGO IL

158 DSH140158E MERCY HOSPITAL AND MEDICAL CENTER BRIDGEPORT CHICAGO IL

159 DSH140158F MERCY HOSPITAL AND MEDICAL CENTER BRIDGEPORT CHICAGO IL

160 DSH150056EW INDIANA UNIVERSITY HEALTH INC IU Health Ind Infusion Center MPC Indianapolis IN

161 DSH150056EX INDIANA UNIVERSITY HEALTH INC IU Health Cast & Traction/RH Indianapolis IN

162 DSH150056FA INDIANA UNIVERSITY HEALTH INC IU Health Clinical Geriatrics Indianapolis IN

163 DSH180005H HIGHLANDS REGIONAL MEDICAL CENTER HIGHLANDS HEART & VASCULAR PRESTONSBURG KY

164 DSH190242

OUR LADY OF THE LAKE ASCENSION

COMMUNITY HOSPITAL, INC. DBA ST. ELIZABETH

HOSPITAL GONZALES LA

165 DSH200009BN MAINE MEDICAL CENTER MMP MaineHealth Cardiology South Portland South Portland ME

166 DSH200018 AROOSTOOK MEDICAL CENTER PRESQUE ISLE ME

167 DSH200018A AROOSTOOK MEDICAL CENTER Aroostook Pediatrics Presque Isle ME

168 DSH200018C AROOSTOOK MEDICAL CENTER Caribou Health Center Caribou ME

169 DSH200018D AROOSTOOK MEDICAL CENTER Family Practice / Internal Medicine Presque Isle ME

170 DSH200018E AROOSTOOK MEDICAL CENTER Fort Fairfield Health Center Fort Fairfield ME

171 DSH200018F AROOSTOOK MEDICAL CENTER Mars Hill Health Center Mars Hill ME

172 DSH200018G AROOSTOOK MEDICAL CENTER Nephrology Services Presque Isle ME

173 DSH200018H AROOSTOOK MEDICAL CENTER Walk-In Care Presque Isle ME

174 DSH200018J AROOSTOOK MEDICAL CENTER County Dialysis Center Presque Isle ME

175 DSH200018K AROOSTOOK MEDICAL CENTER Orthopedic and Sports Medicine Center Caribou ME

176 DSH200018L AROOSTOOK MEDICAL CENTER TAMC EYECARE SERVICES PRESQUE ISLE ME

177 DSH200018M AROOSTOOK MEDICAL CENTER UROLOGY SERVICES PRESQUE ISLE ME

178 DSH200018N AROOSTOOK MEDICAL CENTER OB/GYN & NURSE MIDWIFERY SERVICES PRESQUE ISLE ME

179 DSH200018P AROOSTOOK MEDICAL CENTER WOMENS HEALTH CENTER PRESQUE ISLE ME

180 DSH200018Q AROOSTOOK MEDICAL CENTER TAMC OUTPATIENT SPECIALTY CLINICS PRESQUE ISLE ME

181 DSH200018R AROOSTOOK MEDICAL CENTER ORTHOPEDICS & SPORTS MEDICINE PRESQUE ISLE ME

182 DSH200018S AROOSTOOK MEDICAL CENTER

AROOSTOOK GENERAL & VASCULAR SURGERY

CENTER PRESQUE ISLE ME

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 9 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

183 DSH200024AA CENTRAL MAINE MEDICAL CENTER Brunswick Pediatrics Brunswick ME

184 DSH200024AF CENTRAL MAINE MEDICAL CENTER Brunswick Family Health Brunswick ME

185 DSH200024M CENTRAL MAINE MEDICAL CENTER Norway Family Medicine Norway ME

186 DSH200024Z CENTRAL MAINE MEDICAL CENTER Brunswick General Surgery Brunswick ME

187 DSH200039A MAINEGENERAL MEDICAL CENTER HAROLD ALFOND CENTER FOR CANCER CARE Augusta ME

188 DSH200039B MAINEGENERAL MEDICAL CENTER THAYER CAMPUS Waterville ME

189 DSH200063D PENOBSCOT BAY MEDICAL CENTER Psychiatry - Belfast Belfast ME

190 DSH200063E PENOBSCOT BAY MEDICAL CENTER Psychiatry - Rockland Rockland ME

191 DSH210002H UNIVERSITY OF MARYLAND MEDICAL CENTER UMH: Neu Neuropsych Asses Baltimore MD

192 DSH210002P UNIVERSITY OF MARYLAND MEDICAL CENTER UMH: Gero O/P Clin Baltimore MD

193 DSH210002R UNIVERSITY OF MARYLAND MEDICAL CENTER UMH: Maternal Subst Abuse Baltimore MD

194 DSH210002S UNIVERSITY OF MARYLAND MEDICAL CENTER UMH: Etoh O/P Baltimore MD

195 DSH230106 SPECTRUM HEALTH GERBER MEMORIAL FREMONT MI

196 DSH230106A SPECTRUM HEALTH GERBER MEMORIAL Main Street Internal Medicine and Pediatrics Fremont MI

197 DSH230106B SPECTRUM HEALTH GERBER MEMORIAL Grant Medical Center Grant MI

198 DSH230106C SPECTRUM HEALTH GERBER MEMORIAL Hesperia Medical Center Hesperia MI

199 DSH230106D SPECTRUM HEALTH GERBER MEMORIAL

Spectrum Health Gerber Memorial - Cancer

Center FREMONT MI

200 DSH230132H HURLEY MEDICAL CENTER Pediatric Endocrinology Flint MI

201 DSH230230AJ EDWARD W SPARROW HOSPITAL ASSOCIATION TCI Mt. Pleasant Mt. Pleasant MI

202 DSH230230C EDWARD W SPARROW HOSPITAL ASSOCIATION SPARROW HEALTH SYSTEM RENAL DIALYSIS LANSING MI

203 DSH240101A ST. MARYS REGIONAL HEALTH CENTER Essentia Health St. Mary's - Frazee Clinic Frazee MN

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 10 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

204 DSH240101AE ST. MARYS REGIONAL HEALTH CENTER Coumadin Clinic Detroit Lakes MN

205 DSH240101AF ST. MARYS REGIONAL HEALTH CENTER

Essentia Health St. Mary's-Pelican Rapids

Clinic Pelican Rapids MN

206 DSH240101B ST. MARYS REGIONAL HEALTH CENTER

Essentia Health St. Mary's - Detroit Lakes

Clinic Detroit Lakes MN

207 DSH240101T ST. MARYS REGIONAL HEALTH CENTER Essentia Health St. Mary's - Lake Park Clinic Lake Park MN

208 DSH260040H

LESTER E COX MEDICAL CENTERS DBA

COXHEALTH COX NORTH SPRINGFIELD MO

209 DSH260040J

LESTER E COX MEDICAL CENTERS DBA

COXHEALTH HHA SPRINGFIELD MO

210 DSH260137AE FREEMAN OAK HILL HEALTH SYSTEM FAMILY MEDICINE Joplin MO

211 DSH270023 COMMUNITY MEDICAL CENTER, INC. MISSOULA MT

212 DSH270023A COMMUNITY MEDICAL CENTER, INC.

Montana Cancer Specialist at Community

Medical Center MISSOULA MT

213 DSH270023B COMMUNITY MEDICAL CENTER, INC. CPG General & Vascular Surgery MISSOULA MT

214 DSH270023C COMMUNITY MEDICAL CENTER, INC.

CPG DIABETES AND ENDOCRINOLOGY

ASSOCIATES MISSOULA MT

215 DSH270023D COMMUNITY MEDICAL CENTER, INC. CPG Maternal Fetal Medicine MISSOULA MT

216 DSH270023E COMMUNITY MEDICAL CENTER, INC. CPG MISSOULA VALLEY PEDIATRICS MISSOULA MT

217 DSH270023F COMMUNITY MEDICAL CENTER, INC. CPG North Reserve MISSOULA MT

218 DSH270023G COMMUNITY MEDICAL CENTER, INC.

CPG MOUNTAIN VIEW FAMILY MEDICINE AND

OBSTETRICS MISSOULA MT

219 DSH270023H COMMUNITY MEDICAL CENTER, INC. CPG PARKSIDE COMMUNITY FAMILY CARE MISSOULA MT

220 DSH270023I COMMUNITY MEDICAL CENTER, INC. CPG Stevensville STEVENSVILLE MT

221 DSH270023J COMMUNITY MEDICAL CENTER, INC. ROCKY MOUNTAIN PERINATAL ASSOCIATES MISSOULA MT

222 DSH270023K COMMUNITY MEDICAL CENTER, INC. CPG Cardiology Missoula MT

223 DSH270023M COMMUNITY MEDICAL CENTER, INC. CPG South Reserve Missoula MT

224 DSH270023N COMMUNITY MEDICAL CENTER, INC. CPG North Reserve Primary Care Missoula MT

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

225 DSH330236G NEW YORK METHODIST HOSPITAL Atlantic Cardiovascular Associates, PLLC Brooklyn NY

226 DSH330236K NEW YORK METHODIST HOSPITAL NYM Medical Associates Avenue J Brooklyn NY

227 DSH330236L NEW YORK METHODIST HOSPITAL NYM Medical Associates Bensonhurst Brooklyn NY

228 DSH330236N NEW YORK METHODIST HOSPITAL Park Slope Pediactrics Brooklyn NY

229 DSH330236Q NEW YORK METHODIST HOSPITAL Park Slopes Pediactrics-Speciality Brooklyn NY

230 DSH330236R NEW YORK METHODIST HOSPITAL Spine Center 1 Brooklyn NY

231 DSH330236S NEW YORK METHODIST HOSPITAL Spine Center 2 Brooklyn NY

232 DSH330385A

NORTH CENTRAL BRONX HOSPITAL CENTER

(NYCHHC) Tremont - NCB (NYCHHC) Bronx NY

233 DSH330393A STONY BROOK UNIVERSITY HOSPITAL Cody Center for Autism Port Jefferson NY

234 DSH330394AE UNITED HEALTH SERVICES HOSPITALS, INC. UHS Circle Building Physical Therapy Vestal NY

235 DSH330394AG UNITED HEALTH SERVICES HOSPITALS, INC. UHS Primary Care Endicott - Physical Therapy Endicott NY

236 DSH330396B WOODHULL HOSPITAL CENTER School Based Mental Health Program PS 9 Brooklyn NY

237 DSH330396E WOODHULL HOSPITAL CENTER Bushwick Health Center Brooklyn NY

238 DSH340011 BLUE RIDGE REGIONAL HOSPITAL, INC. SPRUCE PINE NC

239 DSH340011A BLUE RIDGE REGIONAL HOSPITAL, INC. Blue Ridge Medical Center, Pain Clinic Spruce Pine NC

240 DSH340011B BLUE RIDGE REGIONAL HOSPITAL, INC. Blue Ridge Medical Center, Yancey Campus Burnsville NC

241 DSH340011C BLUE RIDGE REGIONAL HOSPITAL, INC. Blue Ridge Medical Center, Mayland Campus Spruce Pine NC

242 DSH340011D BLUE RIDGE REGIONAL HOSPITAL, INC.

Blue Ridge Medical Center, Spruce Pine

Campus Spruce Pine NC

243 DSH340014BA

Forsyth Memorial Hospital, Inc d/b/a Novant

Health Forsyth Medical Center Novant Health Pineview Family Medicine Kernersville NC

244 DSH340023AY PARK RIDGE HEALTH

PARK RIDGE MEDICAL ASSOCIATES-Park Ridge

Health Nephrology HENDERSONVILLE NC

245 DSH340023W PARK RIDGE HEALTH Park Ridge Women's Services Hendersonville NC

246 DSH340061AA UNC Hospitals NUCLEAR MED MEADOWMONT CLINIC Chapel Hill NC

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

247 DSH340061S UNC Hospitals Burlington Imaging and Breast Center Burlington NC

248 DSH390086AA DUBOIS REGIONAL MEDICAL CENTER Penn Highlands Cardiology Punxsy 95520 Punxsutawney PA

249 DSH390086AG DUBOIS REGIONAL MEDICAL CENTER Penn Highlands Cardiology Brookville 95520 Brookville PA

250 DSH390086AP DUBOIS REGIONAL MEDICAL CENTER Penn Highlands Orthopaedics Clarion 90770 Clarion PA

251 DSH390086AQ DUBOIS REGIONAL MEDICAL CENTER Penn Highlands Orthopaedics DuBois 90770 DuBois PA

252 DSH390086BK DUBOIS REGIONAL MEDICAL CENTER Penn Highlands Gastroenterology 90630 DuBois PA

253 DSH390086J DUBOIS REGIONAL MEDICAL CENTER Penn Highlands Pulmonology 95560 Brookville PA

254 DSH390180C Crozer Chester Medical Center Pearl Hall / Crozer Chester Medical Center Upland PA

255 DSH420018L PALMETTO RICHLAND Palmetto Health Emergency - Richland Columbia SC

256 DSH420018S Palmetto Richland ACO Clinic Columbia SC

257 DSH420086E PALMETTO HEALTH BAPTIST Psych Support Services Columbia SC

258 DSH420086G PALMETTO HEALTH BAPTIST Pain Management Columbia SC

259 DSH420086H PALMETTO HEALTH BAPTIST OP Specialty Clinic Columbia SC

260 DSH440176 INDIAN PATH MEDICAL CENTER KINGSPORT TN

261 DSH450054AL SCOTT AND WHITE MEMORIAL HOSPITAL SCOTT AND WHITE BELTON URGENT CARE Belton TX

262 DSH450135

TEXAS HEALTH HARRIS METHODIST HOSPITAL

FORT WORTH FORT WORTH TX

263 DSH450135A

TEXAS HEALTH HARRIS METHODIST HOSPITAL

FORT WORTH TEXAS HEALTH BURLESON BURLESON TX

264 DSH450237AY CHRISTUS SANTA ROSA HEALTH SYSTEM MC Wound Care Center San Antonio TX

265 DSH470003D UNIVERSITY OF VERMONT MEDICAL CENTER Anesthesia (professional) South Burlington VT

266 DSH490037A RIVERSIDE SHORE MEMORIAL HOSPITAL

Shore Health Services Inc dba Riverside Shore

Medical Center at Metompkin Parksley VA

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

267 DSH510038B STONEWALL JACKSON MEMORIAL HOSPITAL Allure Dermatology/Scott Clinic Weston WV

268 DSH520035J SHEBOYGAN MEMORIAL HOSPITAL

Aurora Sheboygan Medical Center / Plymouth

ACL Plymouth WI

269 DSH520138A AURORA HEALTH CARE METRO INC. ST LUKE'S MEDICAL CENTER MILWAUKEE WI

270 DSH520138B AURORA HEALTH CARE METRO INC. AURORA SINAI MEDICAL CENTER MILWAUKEE WI

271 DSH520138C AURORA HEALTH CARE METRO INC. AURORA ST LUKE'S SOUTH SHORE CUDAHY WI

272 FP012308 TAPESTRY HEALTH SYSTEMS, INC.

GREAT

BARRINGTON MA

273 FP10509 PLANNED PARENTHOOD HUDSON PECONIC, INC BREWSTER BREWSTER NY

274 FP209105

PLANNED PARENTHOOD OF METROPOLITAN

WASHINGTON DC, INC. Silver Spring Health Center SILVER SPRING MD

275 FP329602 INDIAN RIVER COUNTY HEALTH DEPARTMENT GIFFORD HEALTH CENTER VERO BEACH FL

276 FP334651

FLORIDA DEPARTMENT OF HEALTH IN PASCO

COUNTY MAIN STREET FAMILY PLANNING CLINIC NEW PORT RICHEY FL

277 FP346677

FLORIDA DEPARTMENT OF HEALTH IN PASCO

COUNTY HUDSON FAMILY PLANNING CLINIC HUDSON FL

278 FP448839 Seneca County General Health District Tiffin OH

279 FP63548 Schuyler County Health Department Tri Rivers Family Planning, Inc. Lancaster MO

280 FP85004 ARIZONA FAMILY HEALTH PARTNERSHIP NP HEALTHCARE GRACE PHOENIX AZ

281 FP85204 ARIZONA FAMILY HEALTH PARTNERSHIP

COMMUNITY ASSET & RESOURCE ENTERPRISE

(CARE) PARTNERSHIP MESA AZ

282 FP85349 Arizona Family Health Partnership San Luis Walk in Clinic, Inc. San Luis AZ

283 FP85350 Arizona Family Health Partnership San Luis Walk-In Clinic, Inc. - Somerton Somerton AZ

284 FP86004 ARIZONA FAMILY HEALTH PARTNERSHIP

COCONINO COUNTY PUBLIC HEALTH SERVICES

DISTRICT - FLAGSTAFF KING STREET FLAGSTAFF AZ

285 FP92108

PLANNED PARENTHOOD OF THE PACIFIC

SOUTHWEST MISSION VALLEY EXPRESS SAN DIEGO CA

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

286 FP967401 PLANNED PARENTHOOD OF HAWAII KONA CLINIC KAILUA-KONA HI

287 FP967665 PLANNED PARENTHOOD OF HAWAII

PLANNED PARENTHOOD OF HAWAII- KAUAI

CLINIC LIHUE HI

288 FQ45 MERCY DIAGNOSTIC TREATMENT CENTER CHICAGO IL

289 FQ45A Mercy Diagnostic and Treatment Center

Mercy Family Health Center - Lower West

Side Chicago IL

290 FQHC638178 LAC COURTE OREILLES COMMUNITY HEALTH CTR HAYWARD WI

291 FQHC638348

CONFEDERATED TRIBES OF THE CHEHALIS

RESERVATION OAKVILLE WA

292 FQHC638350 GRAND RONDE HEALTH AND WELLNESS CENTER CONFEDERATED TRIBES GRAND RONDE OR

293 FQHC638449 YELLOWHAWK TRIBAL HEALTH CENTER PENDLETON OR

294 FQHC638485 COWLITZ INDIAN TRIBE LONGVIEW WA

295 FQHC638487 SNOQUALMIE INDIAN TRIBE TOLT COMMUNITY CLINIC CARNATION WA

296 FQHC638531 Sauk-Suiattle Indian Tribe Contract Health Services Darrington WA

297 FQHCLA312 AMERICAN INDIAN HEALING CENTER, INC American Indian Healing Center Whittier CA

298 FQHCLA330B BOND COMMUNITY HEALTH CENTER INC

Bond-Apalachee Wellness Integration Center

(BAWIC) TALLAHASSEE FL

299 FQHCLA81A NORTHEAST COMMUNITY CLINIC NECC- HP LOS ANGELES CA

300 HM11884 UNITED HEALTH SERVICES HOSPITALS SOUTHERN TIER HEMOPHILIA CENTER JOHNSON CITY NY

301 HM32610

University of Florida Hemophilia Treatment

Center Gainesville FL

302 HV00187 Oklahoma State University Tulsa OK

303 HV00201 Holyoke Health Center Inc Holyoke MA

304 HV00555A Virginia Commonwealth University Hayes E. Willis Clinic Richmond VA

305 HV00774 TWO RIVERS HEALTH & WELLNESS FOUNDATION EASTON PA

306 HV00809 PEOPLES COMMUNITY HEALTH CENTER ADMINISTRATIVE OFFICE BALTIMORE MD

307 HV00809A PEOPLES COMMUNITY HEALTH CENTER BROOKLYN PARK FAMILY HEALTH CENTER BALTIMORE MD

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 15 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

308 HV00809D PEOPLES COMMUNITY HEALTH CENTER YORK ROAD HEALTH CENTER BALTIMORE MD

309 HV00809F PEOPLES COMMUNITY HEALTH CENTER OPEN GATES HEALTH CENTER BALTIMORE MD

310 HV00809G PEOPLES COMMUNITY HEALTH CENTER WEINBERG CENTER BALTIMORE MD

311 HV00809I

PEOPLES COMMUNITY HEALTH CENTER AT

GREENMOUNT JACK BARTH CENTER BALTIMORE MD

312 HV00809J PEOPLES COMMUNITY HEALTH CENTER

PEOPLES COMMUNITY HEALTH CENTER AT

ODENTON ODENTON MD

313 HV020490 WILLIAM F. RYAN COMMUNITY HEALTH CENTER NEW YORK NY

314 HV02607

CENTRA HEALTH, INC. DBA INFECTIOUS DISEASES

CENTER OF CENTRAL VIRGINIA Centra Medical Group LYNCHBURG VA

315 HV07886 Carepoint Health Foundation Inc.

CarePoint Health-Hoboken University Medical

Center Hoboken NJ

316 HV091220 TRI-CITY HEALTH CENTER ALAMEDA HEALTH CONSORTIUM/HIV ACCESS OAKLAND CA

317 HV24728 Eastern Virginia Medical School Norfolk VA

318 PED243301-00

CHILDREN'S HOSPITALS AND CLINICS OF

MINNESOTA ST. PAUL CAMPUS ST. PAUL MN

319 PED243301-01

CHILDREN'S HOSPITALS AND CLINICS OF

MINNESOTA MINNEAPOLIS CAMPUS MINNEAPOLIS MN

320 PED453300-02 COOK CHILDREN'S MEDICAL CENTER Cook Childrens Dodson Specialty Clinic Fort Worth TX

321 PED453300-30 COOK CHILDREN'S MEDICAL CENTER Hurst Psychology Clinic Fort Worth TX

322 RRC010035-00 CULLMAN REGIONAL MEDICAL CENTER CULLMAN AL

323 RRC230030-12 MidMichigan Medical Center - Gratiot St. Johns St Johns MI

324 RRC230030-13 MidMichigan Medical Center - Gratiot Carson City Carson City MI

325 RWI007311 Municipality of Ponce Ponce TGA Ponce PR

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 16 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

326 RWI10301 Community Health Action of Staten Island Staten Island NY

327 RWI212012 JACQUES INITIATIVE OF HUMAN VIROLOGY

UNIVERSITY OF MARYLAND SCHOOL OF

MEDICINE BALTIMORE MD

328 RWI21202 Health Care for the Homeless, Inc. Baltimore MD

329 RWI212181 PEOPLES COMMUNITY HEALTH CENTERS HEADQUARTERS BALTIMORE MD

330 RWI23507 Eastern Virginia Medical School Norfolk VA

331 RWI28209 ID Consultants and Infusion Care Specialists Charlotte NC

332 RWI30308

EMORY UNIVERSITY HOSPITAL MIDTOWN

INFECTIOUS DISEASE ATLANTA GA

333 RWI30331

GEORGIA PUBLIC HEALTH DISTRICT 3-2, Fulton

County Department of Health and Wellness Adamsville Health Center Atlanta GA

334 RWI44103 Community Action Against Addiction, Inc Cleveland OH

335 RWI70802

Baton Rouge Black Alcoholism Counsel /Metro

Health Metro Health Baton Rouge LA

336 RWI92405 Desert AIDS Project San Bernardino CA

337 RWI94901 Marin AIDS Project San Rafael CA

338 RWII10301 Community Health Action of Staten Island Staten Island NY

339 RWII23507 Eastern Virginia Medical School Norfolk VA

340 RWII24502 CENTRA HEALTH, INC. LYNCHBURG VA

341 RWII70601 Southwest Louisiana AIDS Council Lake Charles LA

342 RWIID70427

WASHINGTON SAINT TAMMANY REGIONAL

MEDICAL CENTER BOGALUSA LA

343 RWIID70443 LALLIE KEMP MEDICAL CENTER INDEPENDENCE LA

344 RWIID89102

UNIVERSITY MEDICAL CENTER OF SOUTHERN

NEVADA LAS VEGAS NV

345 SCH040014-00 White County Medical Center Searcy AR

346 SCH040014-01 White County Medical Center Family Practice Associates Searcy AR

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 17 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

347 SCH040014-02 White County Medical Center Searcy Medical Center Searcy AR

348 SCH040014-03 White County Medical Center White County Surgery Center Searcy AR

349 SCH040014-04 White County Medical Center South Campus Searcy AR

350 SCH040014-05 White County Medical Center White County Oncology Searcy AR

351 SCH320004-00 Gerald Champion Regional Medical Center Alamogordo NM

352 SCH320004-01 Gerald Champion Regional Medical Center Gerald Champion Ambulatory Surgery Center Alamogordo NM

353 SCH320004-02 Gerald Champion Regional Medical Center Champion Cancer Center Alamogordo NM

354 SCH320004-03 GERALD CHAMPION REGIONAL MEDICAL CTR GCRMC - Internal Medicine Group Alamogordo NM

355 SCH320004-04 GERALD CHAMPION REGIONAL MEDICAL CTR GCRMC - Gasteroenterology of Alamogordo Alamogordo NM

356 SCH320004-05 GERALD CHAMPION REGIONAL MEDICAL CTR GCRMC - General & Vascular Surgery Alamogordo NM

357 SCH320004-06 GERALD CHAMPION REGIONAL MEDICAL CTR GCRMC - Family Practice of Alamogordo Alamogordo NM

358 SCH320004-07 GERALD CHAMPION REGIONAL MEDICAL CTR

GCRMC - Internal Medicine Associates of

Alamogordo Alamogordo NM

359 SCH320004-08 GERALD CHAMPION REGIONAL MEDICAL CTR GCRMC - Otero County Nephrology Alamogordo NM

360 SCH320004-09 GERALD CHAMPION REGIONAL MEDICAL CTR GCRMC - Surgical Associates of Alamogordo Alamogordo NM

361 SCH320004-10 GERALD CHAMPION REGIONAL MEDICAL CTR GCRMC - Endocrinology & Diabetes Care ALAMOGORDO NM

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 18 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

362 SCH320004-11 GERALD CHAMPION REGIONAL MEDICAL CTR GCRMC - Champion Orthopedics ALAMOGORDO NM

363 SCH320004-12 GERALD CHAMPION REGIONAL MEDICAL CTR GCRMC - Alamogordo Cardiology ALAMOGORDO NM

364 SCH320004-13 GERALD CHAMPION REGIONAL MEDICAL CTR

GERALD CHAMPION REGIONAL MEDICAL

CE/Journey to Wellness ALAMOGORDO NM

365 SCH320004-14 GERALD CHAMPION REGIONAL MEDICAL CTR GERALD CHAMPION REGIONAL MEDICAL CE ALAMOGORDO NM

366 SCH320004-15 GERALD CHAMPION REGIONAL MEDICAL CTR

GERALD CHAMPION REGIONAL MEDICAL CE /

Women's Specialty Services ALAMOGORDO NM

367 SCH360197-04 MARY RUTAN HOSPITAL ORTHOPEDICS BELLEFONTAINE OH

368 SCH360197-05 MARY RUTAN HOSPITAL INTERNAL MEDICINE BELLEFONTAINE OH

369 SCH360197-06 MARY RUTAN HOSPITAL UROLOGY BELLEFONTAINE OH

370 SCH360197-07 MARY RUTAN HOSPITAL EAR, NOSE & THROAT BELLEFONTAINE OH

371 SCH360197-08 MARY RUTAN HOSPITAL OBGYN BELLEFONTAINE OH

372 SCH520019-06 Ministry Saint Mary's Hospital Northland Orthopedics Rhinelander WI

373 STD033011

NH DEPARTMENT OF HEALTH AND HUMAN

SERVICES STD/HIV SECTION CONCORD NH

374 STD04355 FAMILY PLANNING ASSOCIATION OF MAINE

MARANACOOK COMMUNITY SCHOOL BASED

HEALTH CENTER READFIELD ME

375 STD10509 PUTNAM COUNTY DEPARTMENT OF HEALTH BREWSTER NY

376 STD11003 ELMONT COMMUNITY HEALTH CENTER ELMONT NY

377 STD11520

FREEPORT - ROOSEVELT COMMUNITY HEALTH

CENTER ROOSEVELT NY

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 19 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

378 STD115502 HEMPSTEAD COMMUNITY HEALTH CENTER HEMPSTEAD NY

379 STD11590

NEW CASSEL - WESTBURY COMMUNITY HEALTH

CENTER WESTBURY NY

380 STD123027 SCHENECTADY COUNTY PUBLIC HEALTH SERVICE SCHENECTADY NY

381 STD136018 JEFFERSON CO PUBLIC HLTH SERVICE WATERTOWN NY

382 STD139027 BROOME COUNTY HEALTH DEPT BINGHAMTON NY

383 STD144892 WAYNE COUNTY PUBLIC HEALTH SERVICE LYONS NY

384 STD14604 THRESHOLD CENTER FOR ALT YOUTH SRVS. INC ROCHESTER NY

385 STD173311 Planned Parenthood Keystone Hanover Medical Center Hanover PA

386 STD30079 DEKALB COUNTY BOARD OF HEALTH DHR DISTRICT 3 UNIT 5 SCOTTDALE GA

387 STD303033 GEORGIA DEPARTMENT OF PUBLIC HEALTH DIV OF HEALTH PROTECTION ATLANTA GA

388 STD303091 AID Atlanta Atlanta GA

389 STD30315 GEORGIA PUBLIC HEALTH DISTRICT 3-2 LAKEWOOD HEALTH CENTER ATLANTA GA

390 STD314012 CHATHAM CARE CENTER District 9-1 SAVANNAH GA

391 STD32202 OASIS - The GLBT Center of Northeast Florida Jacksonville FL

392 STD36310 HENRY COUNTY HEALTH DEPARTMENT ABBEVILLE AL

393 STD36502 ESCAMBIA COUNTY HEALTH DEPARTMENT ATMORE AL

394 STD36507 BALDWIN CO HEALTH DEPT BAY MINETTE BRANCH BAY MINETTE AL

395 STD37201 Metro Public Health Department Criminal Justice Center Nashville TN

396 STD372011 Metro Public Health Department HIll Detention Center Nashville TN

397 STD37211 Metro Public Health Department

Correctional Development Center - Male

Facility Nashville TN

398 STD372111 Metro Public Health Department

Correctional Development Center - Female

Facility Nashville TN

399 STD43213 Planned Parenthood of Greater Ohio EAST Health Center COLUMBUS OH

400 STD45245 Planned Parenthood of Southwest Ohio Clermont Center Withamsville OH

401 STD45422

PUBLIC HEALTH-DAYTON & MONTGOMERY

COUNTY STD CLINIC DAYTON OH

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 20 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

402 STD46601 St. Joseph County Health Department Nursing - STD Clinic South Bend IN

403 STD48207 Institute for Population Health Detroit MI

404 STD48846

PLANNED PARENTHOOD OF WEST MICHIGAN -

IONIA CENTER IONIA MI

405 STD537031 WISCONSIN DIVISION OF PUB BUREAU OF COMMUNICABLE DI MADISON WI

406 STD66451 Osage County Health Dept Lyndon KS

407 STD67601 Fort Hays Student Health Center Hays KS

408 STD67654 Norton County Health Department Norton KS

409 STD68132

PLANNED PARENTHOOD OF NEBRASKA &

COUNCIL BLUFFS OMAHA NE

410 STD70070 St. Charles Community Health Center Luling LA

411 STD70115 Walter L Cohen SB Health Center New Orleans LA

412 STD70119 Tulane University Warren Easton High SBHC New Orleans LA

413 STD70402

Southeastern Louisiana University Student

Health Center Hammond LA

414 STD70441 Southeast Community Health Center Greensburg LA

415 STD704411 Southeast Community Health Systems St. Helena Central Middle SBHC Greensburg LA

416 STD70501 Our Lady of Lourdes Northside High SBHC Lafayette LA

417 STD70520 Lafayette Parish School System Carenco Middle School SBHC Carenco LA

418 STD70560 Iberia Parish Health Unit New Iberia LA

419 STD708052 Health Care Centers in Schools Istrouma High School Baton Rouge LA

420 STD710191 Ware Youth Center Coushatta LA

421 STD712012 Univ of LA Monroe Student Health Center Monroe LA

422 STD71232

Richardson Medical Center in collaboration with

the Richland Parish School Board Richardson Medical Center SB Health Center Rayville LA

423 STD71245 Grambling State University Foster-Johnson Health Center Grambling LA

424 STD71251 Jackson Parish Hospital SBHC Jonesboro-Hodge Jr. High SBHC Jonesboro LA

425 STD71269 Richardson Medical Center SBHC Rayville High SBHC Rayville LA

426 STD71282 Madison Parish School Board Madison High SBHC Tallulah LA

427 STD71497 Northwestern State University Health Center Health Services Clinic Natchitoches LA

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 21 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

428 STD76114 Planned Parenthood of Greater Texas North Fort Worth Health Center Fort Worth TX

429 STD770231 Planned Parenthood Gulf Coast, Inc Dysplasia Services Houston TX

430 STD78202 University Health System Eastside Clinic San Antonio TX

431 STD78211 University Health System Zarzamora Clinic San Antonio TX

432 STD78212 University Health System Kenwood Clinic San Antonio TX

433 STD78217 University Health System Naco Perrin Clinic San Antonio TX

434 STD78221 University Health System South Flores Clinic San Antonio TX

435 STD78237 University Health System Salinas Clinic San Antonio TX

436 STD80751 NORTHEAST COLORADO HEALTH DEPARTMENT STERLING CO

437 STD81401 MONTROSE COUNTY FAMILY PLANNING MONTROSE CO

438 STD815040

COLORADO DEPARTMENT OF PUBLIC HEALTH

AND ENVIRONMENT BRANCH LAB GRAND JUNCTION CO

439 STD81641 RIO BLANCO CO. NURSING SERVICE MEEKER CO

440 STD81648 RIO BLANCO CO. NURSING SERVICE RANGELY CO

441 STD82001 WYOMING HEALTH COUNCIL CHEYENNE WY

442 STD837219 IDAHO DIVISION OF PUBLIC HEALTH FAMILY PLANNING, STD AND HIV PROGRAMS BOISE ID

443 STD871051 Taylor Ranch Westside Office Albuquerque NM

444 STD87830 Catron County Health Office Reserve NM

445 STD88103 Cannon Airforce Base WIC Nutrition Office CAFB NM

446 STD88330 Holloman Public Health Office Holloman AFB NM

447 STD88352 Tularosa Public Health Office Tularosa NM

448 STD92591

COMMUNITY HEALTH AGENCY - COUNTY OF

RIVERSIDE TEMECULA HEALTH CENTER TEMECULA CA

449 STD93013 Santa Barbara County County Health Clinic-Carpinteria Carpinteria CA

450 STD93103 County of Santa Barbara Santa Barbara Rescue Mission Santa Barbara CA

451 STD931031 County of Santa Barbara Casa Esperanza Santa Barbara CA

452 STD931032 Santa Barbara County County Health Clinic- Franklin Santa Barbara CA

453 STD931105 SANTA BARBARA CO HEALTH DEPT SANTA BARBARA CA

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

454 STD93436 Santa Barbara County County Health Clinic- Lompoc Lompoc CA

455 STD93455 Santa Barbara County County Health Clinic- Santa Maria Santa Maria CA

456 STD93458 County of Santa Barbara Good Samaritan Santa Maria CA

457 STD94544 ALAMEDA CO DEPT OF HEALTH HAYWARD COUNTY HEALTH CEN HAYWARD CA

458 STD945441 ALAMEDA COUNTY DEPT OF HEALTH WINTON WELLNESS CENTER HAYWARD CA

459 STD94560 ALAMEDA CO DEPT OF HEALTH NEWARK HEALTH CENTER NEWARK CA

460 STD950237 SAN BENITO CO HEALTH DEPT HOLLISTER CA

461 STD961014 MODOC COUNTY HEALTH DEPT ALTURAS CA

462 STD96740

PLANNED PARENTHOOD OF HAWAII - KONA

CLINIC KAILUA-KONA HI

463 STD96766 Planned Parenthood of Hawaii- Kauai Clinic LIHUE HI

464 STD96822 UNIVERSITY OF HAWAII, MANOA HONOLULU HI

465 STD97015

PLANNED PARENTHOOD OF THE

COLUMBIA/WILLAMETTE CLACKAMAS HEALTH CENTER CLACKAMAS OR

466 STD97030

PLANNED PARENTHOOD OF

COLUMBIA/WILLAMETTE GRESHAM CLINIC GRESHAM OR

467 STD97128

PLANNED PARENTHOOD OF THE

COLUMBIA/WILLAMETTE MCMINNVILLE HEALTH CENTER MCMINNVILLE OR

468 STD9812226

PLANNED PARENTHOOD OF THE GREAT

NORTHWEST ISSAQUAH HEALTH CENTER ISSAQUAH WA

469 STD98841 OKANOGAN FAMILY PLANNING CLINIC OMAK WA

470 STD9911155 WHITMAN COUNTY HEALTH DEPARTMENT COLFAX WA

471 TB01199 BAYSTATE MEDICAL CENTER

HIGH STREET HEALTH CENTER, WESSON

MEMORIAL HOSPITAL UNIT SPRINGFIELD MA

472 TB01201 BERKSHIRE MEDICAL CENTER PITTSFIELD MA

473 TB01301 FRANKLIN MED CENTER GREENFIELD MA

474 TB01420 HEALTH ALLIANCE HOSPITALS, INC FITCHBURG TB CLINIC FITCHBURG MA

475 TB01550 HARRINGTON MEMORIAL SOUTHBRIDGE MA

476 TB01655 UMASS MEMORIAL MEDICAL CENTER, INC WORCESTER MA

477 TB017011 CHILDREN'S HOSPITAL BOSTON MA

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

478 TB01805 LAHEY HITCHCOCK MED CENTER LAHEY CLINIC INC BURLINGTON MA

479 TB01842 LAWRENCE GENERAL HOSPITAL LAWRENCE MA

480 TB01852 SAINTS MEDICAL CENTER, INC LOWELL MA

481 TB01970 NORTH SHORE MEDICAL CENTER SALEM CAMPUS SALEM MA

482 TB02115 BRIGHAM AND WOMEN'S HOSPITAL BOSTON MA

483 TB02116

Quincy Medical Center, A Steward Family

Hospital, Inc. Boston MA

484 TB02118 BMC OUTPATIENT HARRISON PAVILLION BOSTON MA

485 TB021280 EAST BOSTON NHC EAST BOSTON MA

486 TB02130 LEMUEL SHATTUCK HOSPITAL JAMAICA PLAIN MA

487 TB021301 MILFORD REGIONAL MEDICAL CENTER MILFORD MA

488 TB02139 CAMBRIDGE HEALTH ALLIANCE CAMBRIDGE MA

489 TB021760 HALLMARK HEALTH SYSTEMS, INC MELROSE MA

490 TB02302 BROCKTON HOSPITAL BROCKTON MA

491 TB02601 CAPE COD HOSPITAL HYANNIS MA

492 TB02703 STURDY MEMORIAL HOSPITAL ATTLEBORO MA

493 TB02780 MORTON HOSPITAL TAUNTON MA

494 TB07103 LATTIMORE CLINIC LANA UNIVERSITY HOSPITAL NEWARK NJ

495 TB086252

NEW JERSEY DEPARTMENT OF HEALTH /Div of

AIDS, STD, TB services WAREHOUSE ROOM B-8 TRENTON NJ

496 TB136011 JEFFERSON COUNTY PUBLIC HEALTH TB CONTROL PROGRAM WATERTOWN NY

497 TB136761 ST LAWRENCE COUNTY PUBLIC HEALTH TB CONTROL PROGRAM CANTON NY

498 TB138157 CHENANGO COUNTY HEALTH DEPARTMENT TB CONTROL PROGRAM NORWICH NY

499 TB144242 ONTARIO COUNTY HEALTH SERVICES TB CONTROL CANANDAIGUA NY

500 TB30168 SOUTH COBB PUBLIC HEALTH CENTER TB CLINIC AUSTELL GA

501 TB302631 RYAN WHITE CLINIC HAVEN OF HOPE NEWNAN GA

502 TB303031 GEORGIA DEPARTMENT OF PUBLIC HEALTH ATLANTA GA

503 TB30315 LAKEWOOD HEALTH CENTER TB CLINIC ATLANTA GA

504 TB31548 CAMDEN COUNTY HEALTH DEPARTMENT TB CLINIC KINGSLAND GA

505 TB401601 LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT RADCLIFF CLINIC HEALTH CENTER RADCLIFF KY

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

506 TB427541 LINCOLN TRAIL DISTRICT HEALTH DEPARTMENT ELIZABETHTOWN KY

507 TB482029

DETROIT DEPT OF HEALTH AND WELLNESS

PROMOTION IPH North End DETROIT MI

508 TB53701

STATE OF WISCONSIN TUBERCULOSIS CONTROL

PROGRAM MADISON WI

509 TB62859 HAMILTON COUNTY HEALTH DEPARTMENT MCLEANSBORO IL

510 TB820021 WYOMING DEPARTMENT OF HEALTH TB CONTROL PROGRAM CHEYENNE WY

511 TB880051 West Las Cruces Public Health Office Las Cruces NM

512 TB89008

NEVADA DEPT OF HHS,DIVISION OF PUBLIC &

BEHAVIORAL HEALTH PANACA CLINIC PANACA NV

513 TB89406

NEVADA DEPT OF HHS,DIVISION OF PUBLIC &

BEHAVIORAL HEALTH Fallon Clinic Fallon NV

514 TB89408

NEVADA DEPT OF HHS,DIVISION OF PUBLIC &

BEHAVIORAL HEALTH Fernley Clinic Fernley NV

515 TB89445

NEVADA DEPT OF HHS,DIVISION OF PUBLIC &

BEHAVIORAL HEALTH Winnemucca, Humboldt County Clinic Winnemucca NV

516 TB89447

NEVADA DEPT OF HHS,DIVISION OF PUBLIC &

BEHAVIORAL HEALTH Yerington Clinic Yerington NV

517 TB89701

NEVADA DEPT OF HHS,DIVISION OF PUBLIC &

BEHAVIORAL HEALTH Division of Public and Behavioral Health CARSON CITY NV

518 TB89820

NEVADA DEPT OF HHS,DIVISION OF PUBLIC &

BEHAVIORAL HEALTH Battle Mountain Clinic Battle Mountain NV

519 TB93013 Santa Barbara County County Health Clinic- Carpinteria Carpinteria CA

520 TB930131 Santa Barbara County Santa Barbara Rescue Mission Santa Barbara CA

521 TB93103 Santa Barbara County County Health Clinic- Franklin Santa Barbara CA

522 TB931031 Santa Barbara County Casa Esperanza Santa Barbara CA

523 TB931106

SANTA BARBARA COUNTY PUBLIC HEALTH

DEPARTMENT SANTA BARBARA CA

524 TB93436 County of Santa Barbara County Health Care Center- Lompoc Lompoc CA

525 TB93455 Santa Barbara County County Health Clinic- Santa Maria Santa Maria CA

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 25 of 26

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340B Covered Entity Terminations List

Effective 4/01/2015 (527 total entities listed)

Row Num 340B ID Entity Name Entity Sub-Division Name City State

526 TB93458 Santa Barbara County Good Samaritan Shelter Santa Maria CA

527 TB94607

ALAMEDA COUNTY HEALTH CARE SERVICES

AGENCY PUBLIC HEALTH DEPARTMENT, TB CONTROL OAKLAND CA

This list may not include all terminations due to individual extenuating circumstances

Please review the entity record in the 340B program database for additional termination details

Page 26 of 26