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
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
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
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
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
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
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
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
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
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
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
Page 11 of 26
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
Page 12 of 26
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
Page 13 of 26
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
Page 14 of 26
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
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
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
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
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
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
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
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
Page 22 of 26
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
Page 23 of 26
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
Page 24 of 26
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
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