340B Covered Entity Terminations List - Terminations ... · 80 DSH050636A POMERADO HOSPITAL...
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340B Covered Entity Terminations List - Terminations Effective 10/2/2015 through 1/1/2016 (439 total) Row Num 340B ID Entity Name Entity Sub-Division Name City State 1 CAH111314-04 PIONEER HLTH SERV OF EARLY COUNTY PIONEER FAMILY CARE OF EARLY BLAKELY GA 2 CAH231320-01 MH-LAKESHORE CAMPUS Hart Family Medical Hart MI 3 CAH231320-02 MH-LAKESHORE CAMPUS Lakeshore Medical Shelby Shelby MI 4 CAH231320-03 MH-LAKESHORE CAMPUS Lakeshore Medical Whitehall Whitehall MI 5 CAH261325-03 Barton County Memorial Hospital Lockwood Clinic Lockwood MO 6 CAH271317-02 Livingston Healthcare Clinic West Crawford Livingston MT 7 CH02371B INSTITUTE FOR FAMILY HEALTH, THE EAST 13TH STREET FAMILY PRACTICE New York NY 8 CH03013C PARK WEST HEALTH SYSTEMS INCORPORATED PARK WEST MEDICAL CENTER SCC/GPA BALTIMORE MD 9 CH031690HO02 HEALTH CARE FOR THE HOMELESS, INC. FREDERICK COMMUNITY ACTION AGENCY Frederick MD 10 CH041309AB CHEROKEE HEALTH SYSTEMS WEST KNOX HEALTH CENTER Knoxville TN 11 CH041309L CHEROKEE HEALTH SYSTEMS CHS Jefferson County Clinic Jefferson City TN 12 CH04196W BIRMINGHAM HEALTH CARE INC BHC Norwood Plaza Birmingham AL 13 CH04409B HEALTH POINT FAMILY CARE, INC HealthPoint Latonia Covington KY 14 CH04411B UNITED NEIGHBORHOOD HEALTH SERVICES, INC. WAVERLY FAMILY CLINIC Nashville TN 15 CH05004T SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORPORATION Shawnee Dental Center at Murphysboro Murphysboro IL 16 CH06175C GATEWAY COMMUNITY HEALTH CENTER INC CENTRO COMMUNITARIO-EL CENIZO Laredo TX 17 CH08146AC PEAK VISTA COMMUNITY HEALTH CENTERS CRIPPLE CREEK VICTOR MOUNTAIN HEALTH CENTER CRIPPLE CREEK CO 18 CH09815A SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. Ravenswood Family Health Center at Belle Haven Menlo Park CA 19 CH09879L SANTA ROSA COMMUNITY HEALTH CENTERS Roseland Children's Health Center Santa Rosa CA 20 CH10817C DIRNE HEALTH CENTERS, INC. Dirne CHC Homeless Walk In Clinic Coeur d Alene ID 21 CH10817J DIRNE HEALTH CENTERS, INC. Dirne CHC Physical Therapy Coeur D Alene ID 22 CH11355-00 FIRST CARE CLINIC, INC. First Care Clinic, Inc. Hays KS 23 CHC11427-01 MEHOP MEHOP Behavioral Health Bay City TX 24 CHC24138-00 EZRAS CHOILIM HEALTH CENTER, INC. Ezras Choilim Health Center Monroe NY 25 CHC26570-00 COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY St. Joseph County Health Center Centreville MI 26 DSH010039 HUNTSVILLE HOSPITAL HUNTSVILLE AL 27 DSH010039A HUNTSVILLE HOSPITAL HEART CENTER HUNTSVILLE AL 28 DSH010039D HUNTSVILLE HOSPITAL Madison - Endoscopy Madison AL 29 DSH010039E HUNTSVILLE HOSPITAL Madison - Pre Op Madison AL 30 DSH010039F HUNTSVILLE HOSPITAL Madison - Surgery Madison AL 31 DSH010039G HUNTSVILLE HOSPITAL Madison - PACU Madison AL 32 DSH010039H HUNTSVILLE HOSPITAL Madison - Labor & Delivery/Post Partum Madison AL 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 15
Transcript of 340B Covered Entity Terminations List - Terminations ... · 80 DSH050636A POMERADO HOSPITAL...
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
1 CAH111314-04 PIONEER HLTH SERV OF EARLY COUNTY PIONEER FAMILY CARE OF EARLY BLAKELY GA
2 CAH231320-01 MH-LAKESHORE CAMPUS Hart Family Medical Hart MI
3 CAH231320-02 MH-LAKESHORE CAMPUS Lakeshore Medical Shelby Shelby MI
4 CAH231320-03 MH-LAKESHORE CAMPUS Lakeshore Medical Whitehall Whitehall MI
5 CAH261325-03 Barton County Memorial Hospital Lockwood Clinic Lockwood MO
6 CAH271317-02 Livingston Healthcare Clinic West Crawford Livingston MT
7 CH02371B INSTITUTE FOR FAMILY HEALTH, THE EAST 13TH STREET FAMILY PRACTICE New York NY
8 CH03013C PARK WEST HEALTH SYSTEMS INCORPORATED PARK WEST MEDICAL CENTER SCC/GPA BALTIMORE MD
9 CH031690HO02 HEALTH CARE FOR THE HOMELESS, INC. FREDERICK COMMUNITY ACTION AGENCY Frederick MD
10 CH041309AB CHEROKEE HEALTH SYSTEMS WEST KNOX HEALTH CENTER Knoxville TN
11 CH041309L CHEROKEE HEALTH SYSTEMS CHS Jefferson County Clinic Jefferson City TN
12 CH04196W BIRMINGHAM HEALTH CARE INC BHC Norwood Plaza Birmingham AL
13 CH04409B HEALTH POINT FAMILY CARE, INC HealthPoint Latonia Covington KY
14 CH04411B UNITED NEIGHBORHOOD HEALTH SERVICES, INC. WAVERLY FAMILY CLINIC Nashville TN
15 CH05004T SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORPORATION Shawnee Dental Center at Murphysboro Murphysboro IL
16 CH06175C GATEWAY COMMUNITY HEALTH CENTER INC CENTRO COMMUNITARIO-EL CENIZO Laredo TX
17 CH08146AC PEAK VISTA COMMUNITY HEALTH CENTERS CRIPPLE CREEK VICTOR MOUNTAIN HEALTH CENTER CRIPPLE CREEK CO
18 CH09815A SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. Ravenswood Family Health Center at Belle Haven Menlo Park CA
19 CH09879L SANTA ROSA COMMUNITY HEALTH CENTERS Roseland Children's Health Center Santa Rosa CA
20 CH10817C DIRNE HEALTH CENTERS, INC. Dirne CHC Homeless Walk In Clinic Coeur d Alene ID
21 CH10817J DIRNE HEALTH CENTERS, INC. Dirne CHC Physical Therapy Coeur D Alene ID
22 CH11355-00 FIRST CARE CLINIC, INC. First Care Clinic, Inc. Hays KS
23 CHC11427-01 MEHOP MEHOP Behavioral Health Bay City TX
24 CHC24138-00 EZRAS CHOILIM HEALTH CENTER, INC. Ezras Choilim Health Center Monroe NY
25 CHC26570-00 COMMUNITY MENTAL HEALTH SERVICES OF ST JOSEPH COUNTY St. Joseph County Health Center Centreville MI
26 DSH010039 HUNTSVILLE HOSPITAL HUNTSVILLE AL
27 DSH010039A HUNTSVILLE HOSPITAL HEART CENTER HUNTSVILLE AL
28 DSH010039D HUNTSVILLE HOSPITAL Madison - Endoscopy Madison AL
29 DSH010039E HUNTSVILLE HOSPITAL Madison - Pre Op Madison AL
30 DSH010039F HUNTSVILLE HOSPITAL Madison - Surgery Madison AL
31 DSH010039G HUNTSVILLE HOSPITAL Madison - PACU Madison AL
32 DSH010039H HUNTSVILLE HOSPITAL Madison - Labor & Delivery/Post Partum Madison AL
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 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
33 DSH010039J HUNTSVILLE HOSPITAL Madison - Anesthesia Madison AL
34 DSH010039K HUNTSVILLE HOSPITAL Madison - CT Scan Madison AL
35 DSH010039L HUNTSVILLE HOSPITAL Madison - MRI Madison AL
36 DSH010039M HUNTSVILLE HOSPITAL Madison - X-Ray Madison AL
37 DSH010039N HUNTSVILLE HOSPITAL Madison - Nuclear Medicine Madison AL
38 DSH010039P HUNTSVILLE HOSPITAL Madison - Clinical Lab Madison AL
39 DSH010039Q HUNTSVILLE HOSPITAL Madison - Cardio/Respiratory Therapy Madison AL
40 DSH010039R HUNTSVILLE HOSPITAL Madison - Echo Madison AL
41 DSH010039S HUNTSVILLE HOSPITAL Madison - EKG/Street Testing Madison AL
42 DSH010039T HUNTSVILLE HOSPITAL Madison - Pathology Madison AL
43 DSH010039U HUNTSVILLE HOSPITAL Madison - Ultrasound Madison AL
44 DSH010039V HUNTSVILLE HOSPITAL Madison - Urgent Care Center Madison AL
45 DSH010039W HUNTSVILLE HOSPITAL Madison - Emergency Department Madison AL
46 DSH010039X HUNTSVILLE HOSPITAL Outpatient Medical Huntsville AL
47 DSH010089 WALKER BAPTIST MEDICAL CENTER JASPER AL
48 DSH010089A WALKER BAPTIST MEDICAL CENTER Walker Cancer Center JASPER AL
49 DSH010089B WALKER BAPTIST MEDICAL CENTER ALABAMA OUTPATIENT SUGERY CENTER A Jasper AL
50 DSH010101 CITIZENS BAPTIST MEDICAL CENTER TALLADEGA AL
51 DSH050084A ST JOSEPH'S MEDICAL CENTER St. Joseph's Immediate Care Clinic Stockton CA
52 DSH050196A Central Valley General Hospital Adventist Health/Community Care - Avenal Avenal CA
53 DSH050196B Central Valley General Hospital Adventist Health/Community Care - Caruthers Caruthers CA
54 DSH050196C Central Valley General Hospital Adventist Health/Community Care - Coalinga Coalinga CA
55 DSH050196D Central Valley General Hospital Adventist Health/Community Care - Corcoran Corcoran CA
56 DSH050196E Central Valley General Hospital Adventist Health/Community Care - Dinuba Dinuba CA
57 DSH050196F Central Valley General Hospital Adventist Health/Community Care - Reedley Reedley CA
58 DSH050196G Central Valley General Hospital Adventist Health/Community Care - Fowler Fowler CA
59 DSH050196H Central Valley General Hospital Adventist Health/Community Care - Hanford Hanford CA
60 DSH050196J Central Valley General Hospital Adventist Health/Community Care - Home Garden Hanford CA
61 DSH050196K Central Valley General Hospital Adventist Health/Community Care - Huron Huron CA
62 DSH050196L Central Valley General Hospital Adventist Health/Community Care - Kerman Kerman CA
63 DSH050196N Central Valley General Hospital Adventist Health/Community Care - Kingsburg Kingsburg CA
64 DSH050196P Central Valley General Hospital Adventist Health/Community Care - Lemoore Lemoore 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 - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
65 DSH050196Q Central Valley General Hospital Adventist Health/Community Care - Sanger Sanger CA
66 DSH050196R Central Valley General Hospital Adventist Health/Community Care - Selma Central Selma CA
67 DSH050196S Central Valley General Hospital Adventist Health/Community Care - Selma Selma CA
68 DSH050196T Central Valley General Hospital Adventist Health/Community Care - TAFT TAFT CA
69 DSH050196U CENTRAL VALLEY GENERAL HOSPITAL AHCC Dental Hanford CA
70 DSH050196V CENTRAL VALLEY GENERAL HOSPITAL AHCC Family Practice Residency Clinic Hanford CA
71 DSH050196W CENTRAL VALLEY GENERAL HOSPITAL AHCC Specialty Clinic Hanford CA
72 DSH050196X CENTRAL VALLEY GENERAL HOSPITAL AHCC Healthy Beginings Hanford CA
73 DSH050502 ST. VINCENT MEDICAL CENTER LOS ANGELES CA
74 DSH050599B UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER CANCER CENTER SACRAMENTO CA
75 DSH050625AU CEDARS-SINAI MEDICAL CENTER Rheumatology Clinic Los Angeles CA
76 DSH050625AY CEDARS-SINAI MEDICAL CENTER PHYSICAL THERAPY O/P / PT OP NEURO LOS ANGELES CA
77 DSH050625AZ CEDARS-SINAI MEDICAL CENTER PHYSICAL THERAPY O/P FIBRO LOS ANGELES CA
78 DSH050625BB CEDARS-SINAI MEDICAL CENTER OCCUPATIONAL THERAPY O/P FIBRO Los Angeles CA
79 DSH050625BC CEDARS-SINAI MEDICAL CENTER OCCUPATIONAL THERAPY O/P NEURO LOS ANGELES CA
80 DSH050636A POMERADO HOSPITAL EXPRESSCARE RETAIL CLINIC SAN DIEGO CA
81 DSH050696P Keck Hospital of USC Surgery Clinic Los Angeles CA
82 DSH090008 United Medical Center WASHINGTON DC
83 DSH090008A United Medical Center Orthopedic / Clinic Washington DC
84 DSH090008B United Medical Center Primary Care / Center Washington DC
85 DSH090008C United Medical Center Infectious Disease / Clinic Washington DC
86 DSH090008D United Medical Center Urology / Clinic Washington DC
87 DSH090008E United Medical Center Today's Women / OBGYN Washington DC
88 DSH090008F United Medical Center GI / Clinic Washington DC
89 DSH090008H United Medical Center Cardiology / Clinic Washington DC
90 DSH090008J United Medical Center Wound Care / Clinic Washington DC
91 DSH100017R HALIFAX MEDICAL CENTER Center for Plastic and Cosmetic Surgery Daytona Beach FL
92 DSH100025AW SACRED HEART HEALTH SYSTEM Sacred Heart Medical Group - Neurology Pensacola FL
93 DSH110004 HUTCHESON MEDICAL CENTER FORT OGLETHORPE GA
94 DSH110004A HUTCHESON MEDICAL CENTER FULLER CANCER CENTER RINGGOLD GA
95 DSH110004B HUTCHESON MEDICAL CENTER PARKWAY SURGERY CENTER RINGGOLD GA
96 DSH110025 SOUTHEAST GEORGIA REGIONAL MEDICAL CENTER BRUNSWICK GA
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 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
97 DSH120028A NORTH HAWAII COMMUNITY HOSPITAL NHCH GENERAL SURGERY CLINIC KAMUELA HI
98 DSH120028B NORTH HAWAII COMMUNITY HOSPITAL NHCH ORTHOPEDIC CLINIC KAMUELA HI
99 DSH120028C NORTH HAWAII COMMUNITY HOSPITAL WAIMEA WOMEN'S CENTER KAMUELA HI
100 DSH140155C Presence St. Mary's Hospital Occupational Health Clinic Bourbonnais IL
101 DSH140155F Presence St. Mary's Hospital Bourbonnais Campus - OP Imaging Bourbonnais IL
102 DSH150008A ST CATHERINE HOSPITAL Occupational Therapy Health Clinic - Hobart Hobart IN
103 DSH180035 ST ELIZABETH HEALTHCARE EDGEWOOD KY
104 DSH180035A ST ELIZABETH HEALTHCARE Cardiac Health Center / Cardiac Health Edgewood KY
105 DSH180035B ST ELIZABETH HEALTHCARE Cardiac Diagnostics - Medical Village Edgewood KY
106 DSH180035C ST ELIZABETH HEALTHCARE St. Elizabeth - US 42 Imaging Florence KY
107 DSH180035D ST ELIZABETH HEALTHCARE St. Elizabeth Healthcare / Sports Medicine Edgewood KY
108 DSH180035E ST ELIZABETH HEALTHCARE Cardiac Diagnostics - Kenwood Kenwood OH
109 DSH180035F ST ELIZABETH HEALTHCARE Cardiac Diagnostics - Turfway Florence KY
110 DSH180035G ST ELIZABETH HEALTHCARE St. Elizabeth Imaging Center - Alexandria Alexandria KY
111 DSH180035H ST ELIZABETH HEALTHCARE Surgery Center - Edgewood Edgewood KY
112 DSH180035J ST ELIZABETH HEALTHCARE Vascular Imaging Center South Edgewood KY
113 DSH180035K ST ELIZABETH HEALTHCARE Cardiac Diagnostics - Centre View Crestview Hills KY
114 DSH180035L ST ELIZABETH HEALTHCARE St. Elizabeth Sports Medicine-Florence/Business Health Florence KY
115 DSH180035M ST ELIZABETH HEALTHCARE Cardiac Diagnostics / Crestview Hills Cretview Hills KY
116 DSH180035N ST ELIZABETH HEALTHCARE St. Elizabeth Imaging Center - Edgewood Edgewood KY
117 DSH180035P ST ELIZABETH HEALTHCARE Surgery Center - Crestview Hills Crestview Hills KY
118 DSH180035Q ST ELIZABETH HEALTHCARE St. Elizabeth Imaging Center Hebron Hebron KY
119 DSH180035R ST ELIZABETH HEALTHCARE Cardiac Diagnostics - Aurora Aurora IN
120 DSH180035S ST ELIZABETH HEALTHCARE St Elizabeth Edgewood Anti-Coagulation Clinic Edgewood KY
121 DSH180035T ST ELIZABETH HEALTHCARE St Elizabeth Edgewood / Speech Pathology/Audiology Edgewood KY
122 DSH180035U ST ELIZABETH HEALTHCARE Independence Diagnostic Center Independence KY
123 DSH180035V ST ELIZABETH HEALTHCARE Covington / X-ray Flouroscopy Covington KY
124 DSH180035W ST ELIZABETH HEALTHCARE Covington / Diagnostic Imaging Covington KY
125 DSH180035X ST ELIZABETH HEALTHCARE Covington / Wound Care Covington KY
126 DSH180035Y ST ELIZABETH HEALTHCARE Covington / Emergency Room Covington KY
127 DSH180045 ST. ELIZABETH FLORENCE FLORENCE 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 4 of 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
128 DSH190005A
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Lord & Taylor Clinic NEW ORLEANS LA
129 DSH190005B
University Medical Center Managment Corporation d/b/a Interim LSU
Hospital MCLNO HIV Outpatient Clinic NEW ORLEANS LA
130 DSH190005C
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Coumadin Clinic New Orleans LA
131 DSH190005D
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Wound Care Clinic New Orleans LA
132 DSH190005E
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Medicine Subspecialty New Orleans LA
133 DSH190005F
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Medicine Clinic New Orleans LA
134 DSH190005G
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Diabetes Clinic New Orleans LA
135 DSH190005H
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Allergy Clinic New Orleans LA
136 DSH190005J
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Ophthalmology Clinic New Orleans LA
137 DSH190005K
University Medical Center Management Corporation d/b/a Interim LSU
Hospital OB/GYN Clinic New Orleans LA
138 DSH190005L
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Orthopedic Clinic New Orleans LA
139 DSH190005M
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Neurology Clinic New Orleans LA
140 DSH190005N
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Rehab Clinic New Orleans LA
141 DSH190005P
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Walk In Outpatient Clinic New Orleans LA
142 DSH190005Q
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Medical Home Poydras New Orleans LA
143 DSH190005R
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Landry Clinic New Orleans LA
144 DSH190005S
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Podiatry Clinic New Orleans LA
145 DSH190005T
University Medical Center Management Corporation d/b/a Interim LSU
Hospital Diabetes Education Center New Orleans LA
146 DSH200024 CENTRAL MAINE MEDICAL CENTER LEWISTON ME
147 DSH200024AB CENTRAL MAINE MEDICAL CENTER Brunswick Family Medicine Brunswick ME
148 DSH200024AC CENTRAL MAINE MEDICAL CENTER Brunswick Primary Care Brunswick ME
149 DSH200024AE CENTRAL MAINE MEDICAL CENTER Central Maine Bariatric Surgery Lewiston 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 5 of 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
150 DSH200024AG CENTRAL MAINE MEDICAL CENTER Minot Avenue Family Practice Auburn ME
151 DSH200024AH CENTRAL MAINE MEDICAL CENTER Bladder Control Center Lewiston ME
152 DSH200024AJ CENTRAL MAINE MEDICAL CENTER Central Maine Pulmonology and Sleep Medicine Lewiston ME
153 DSH200024AK CENTRAL MAINE MEDICAL CENTER Topsham Specialty Clinic Topsham ME
154 DSH200024AL CENTRAL MAINE MEDICAL CENTER Topsham Coastal Plastic Surgery Topsham ME
155 DSH200024AM CENTRAL MAINE MEDICAL CENTER High Street Family Medicine Lewiston ME
156 DSH200024AN CENTRAL MAINE MEDICAL CENTER CMMC Physical Therapy Auburn ME
157 DSH200024AP CENTRAL MAINE MEDICAL CENTER Medication Management Clinic Lewiston ME
158 DSH200024B CENTRAL MAINE MEDICAL CENTER Central Maine Heart Associates - Brunswick Brunswick ME
159 DSH200024C CENTRAL MAINE MEDICAL CENTER Central Maine Gynecology and Urogynecology Lewiston ME
160 DSH200024E CENTRAL MAINE MEDICAL CENTER Central Maine Urology Lewiston ME
161 DSH200024G CENTRAL MAINE MEDICAL CENTER Topsham Family Medicine Topsham ME
162 DSH200024H CENTRAL MAINE MEDICAL CENTER Central Maine Sports Medicine Lewiston ME
163 DSH200024J CENTRAL MAINE MEDICAL CENTER Poland Community Health Center Poland ME
164 DSH200024K CENTRAL MAINE MEDICAL CENTER Central Maine Plastic Surgery Lewiston ME
165 DSH200024L CENTRAL MAINE MEDICAL CENTER Central Maine Pain & Headache Center - Lewiston Lewiston ME
166 DSH200024N CENTRAL MAINE MEDICAL CENTER Central Maine Neurology Auburn ME
167 DSH200024P CENTRAL MAINE MEDICAL CENTER Mechanic Falls Family Practice Mechanic Falls ME
168 DSH200024Q CENTRAL MAINE MEDICAL CENTER Lisbon Family Practice Lisbon ME
169 DSH200024R CENTRAL MAINE MEDICAL CENTER Central Maine Infectious Diseases Lewiston ME
170 DSH200024S CENTRAL MAINE MEDICAL CENTER Gray Family Health Gray ME
171 DSH200024T CENTRAL MAINE MEDICAL CENTER Central Maine Gastroenterology Lewiston ME
172 DSH200024U CENTRAL MAINE MEDICAL CENTER High Street Family Medicine Residency Lewiston ME
173 DSH200024V CENTRAL MAINE MEDICAL CENTER Central Maine Family Health Care Associates Auburn ME
174 DSH200024W CENTRAL MAINE MEDICAL CENTER Central Maine Endocrinology and Diabetes Center Lewiston ME
175 DSH200024X CENTRAL MAINE MEDICAL CENTER Central Maine Heart Associates - Auburn Auburn ME
176 DSH200034C ST MARY'S REGIONAL MEDICAL CENTER ST. MARY'S PULMONARY MEDICINE AND INFECTIOUS DISEASE Lewiston ME
177 DSH210009FF JOHNS HOPKINS HOSPITAL Ryan White 1 Stop Baltimore MD
178 DSH210009FG JOHNS HOPKINS HOSPITAL Ryan White 2 Stop Baltimore MD
179 DSH220011K CAMBRIDGE PUBLIC HEALTH COMMISSION UNION SQUARE HEALTH CENTER SOMERVILLE MA
180 DSH230046L UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS Brighton Health Center Brighton MI
181 DSH230046Q UNIVERSITY OF MICHIGAN HOSPITALS AND HEALTH CENTERS Canton Health Center Canton MI
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 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
182 DSH230072A HOLLAND HOSPITAL Douglas Outpatient Rehab Lab Services Douglas MI
183 DSH230072N HOLLAND HOSPITAL Holland Hospital Imaging & Laboratory Services Zeeland MI
184 DSH240004AF HENNEPIN COUNTY MEDICAL CENTER Addiction Medicine Clinic MINNEAPOLIS MN
185 DSH250019U MEMORIAL HOSPITAL AT GULFPORT Memorial Living Waters Community Medical Center Pass Christian MS
186 DSH260040AD LESTER E COX MEDICAL CENTERS BRANSON THERAPY SERVICES BRANSON MO
187 DSH260137K FREEMAN HEALTH SYSTEM Freeman Cancer Institute Grove Grove OK
188 DSH260141AK University of Missouri Health Care WCH Surgery Clinic Columbia MO
189 DSH310009A CLARA MAASS MEDICAL CENTER Professional Building Laboratory Belleville NJ
190 DSH310086 KENNEDY MEMORIAL HOSPITALS - UMC CHERRY HILL NJ
191 DSH310086A KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY BEHAVIORAL HEALTH SEWELL NJ
192 DSH310086B KENNEDY MEMORIAL HOSPITALS - UMC Kennedy Dialysis Center - Washington Township Sewell NJ
193 DSH310086C KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / Recovery Room CHERRY HILL NJ
194 DSH310086D KENNEDY MEMORIAL HOSPITALS - UMC The Center for Wound Healing Sewell NJ
195 DSH310086E KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY DIAGNOSTICE & TREATMENT CTR / MRI SEWELL NJ
196 DSH310086F KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY DIAGNOSTICE & TREATMENT CTR / CT Scan SEWELL NJ
197 DSH310086G KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / OP Psychiatric CHERRY HILL NJ
198 DSH310086H KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / Recovery Room TURNERSVILLE NJ
199 DSH310086J KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / Emergency Department TURNERSVILLE NJ
200 DSH310086K KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / Operating Room TURNERSVILLE NJ
201 DSH310086L KENNEDY MEMORIAL HOSPITALS - UMC Kennedy Dialysis Center - Voorhees / OP Hemodialysis Voorhees NJ
202 DSH310086M KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / Emergency Room CHERRY HILL NJ
203 DSH310086N KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / Anesthesiology TURNERSVILLE NJ
204 DSH310086P KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / Anesthesiology CHERRY HILL NJ
205 DSH310086Q KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / Operating Room CHERRY HILL NJ
206 DSH310086R KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY DIAGNOSTICE & TREATMENT CTR / Diagnostic Radiology SEWELL NJ
207 DSH310086S KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY DIAGNOSTIC & TREATMENT CTR SEWELL NJ
208 DSH310086T KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / Diagnostic Radiology TURNERSVILLE NJ
209 DSH310086U KENNEDY MEMORIAL HOSPITALS - UMC KENNEDY MEMORIAL HOSPITAL / Radiology Diagnostic CHERRY HILL NJ
210 DSH310086V KENNEDY MEMORIAL HOSPITALS - UMC Family Health Center at Somerdale SOMERDALE NJ
211 DSH310086W KENNEDY MEMORIAL HOSPITALS - UMC Kennedy Surgical Center Sewell NJ
212 DSH310086X KENNEDY MEMORIAL HOSPITALS - UMC Family Health Services at Washington Township SEWELL NJ
213 DSH310086Y KENNEDY MEMORIAL HOSPITALS - UMC Home Health care Voorhees NJ
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 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
214 DSH310086Z KENNEDY MEMORIAL HOSPITALS - UMC Kennedy Dialysis Center - Voorhees / CPD Dialysis Home Care Voorhees NJ
215 DSH330024N THE MOUNT SINAI HOSPITAL Joseph H. Hazan Amb. Cardiac Care Center New York NY
216 DSH330101AE NEW YORK-PRESBYTERIAN HOSPITAL ACN ALLEN HOSPITAL PRACTICE New York NY
217 DSH330164L Highland Hospital of Rochester Cornhill Internal Medicine Rochester NY
218 DSH330276S NATHAN LITTAUER HOSPITAL FonClair Terrace Primary Care Center - Primary Care Johnstown NY
219 DSH330397G INTERFAITH MEDICAL CENTER Bishop Walker HC-Diatric Urology Brooklyn NY
220 DSH330397H INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Plastic Surgery Brooklyn NY
221 DSH330397J INTERFAITH MEDICAL CENTER Bishop Walker-Direct Observed Therapy Brooklyn NY
222 DSH330397K INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Gyn C Brooklyn NY
223 DSH330397L INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Pediatric Surgery Brooklyn NY
224 DSH330397M INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Asthma Brooklyn NY
225 DSH330397P INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Pediatric Cardiology Brooklyn NY
226 DSH330397Q INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Tuberculosis Brooklyn NY
227 DSH330397R INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Breast Brooklyn NY
228 DSH330397S INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Pediatric Neurology Brooklyn NY
229 DSH330397T INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Diatric Sickle Cell Brooklyn NY
230 DSH330397U INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Vascular Brooklyn NY
231 DSH330397V INTERFAITH MEDICAL CENTER Bishop Walker Health Center-Hand Surgery Brooklyn NY
232 DSH340061BE UNIVERSITY OF NORTH CAROLINA HOSP. ACC Pulmonary Diagnostic Services Chapel Hill NC
233 DSH340061BF UNIVERSITY OF NORTH CAROLINA HOSP. UNC HOSPITALS AMBULATORY SURGERY CE / ACC Ultrasound CHAPEL HILL NC
234 DSH340061BJ UNIVERSITY OF NORTH CAROLINA HOSP. UNC HOSPITALS AMBULATORY SURGERY CE / ACC MRI Facility CHAPEL HILL NC
235 DSH340061BL UNIVERSITY OF NORTH CAROLINA HOSP. UNC HOSPITALS AMBULATORY SURGERY CE / ACC EKG CHAPEL HILL NC
236 DSH340061BM UNIVERSITY OF NORTH CAROLINA HOSP. UNC HOSPITALS AMBULATORY SURGERY CE / ACC Computerized Tomography CHAPEL HILL NC
237 DSH340068B COLUMBUS REGIONAL HEALTHCARE SYSTEM South Columbus Medical Clinic WHITEVILLE NC
238 DSH360059A METROHEALTH MEDICAL CENTER METROHEALTH BUCKEYE HEALTH CENTER CLEVELAND OH
239 DSH360059AB METROHEALTH MEDICAL CENTER METROHEALTH BUCKEYE HEALTH CENTER- INTERNAL MED (PROF) CLEVELAND OH
240 DSH360059AF METROHEALTH MEDICAL CENTER METROHEALTH BUCKEYE HEALTH CENTER- PULMONARAY MEDICINE CLEVELAND OH
241 DSH360059AH METROHEALTH MEDICAL CENTER METROHEALTH BROADWAY HEALTH CENTER - DENTISTRY CLEVELAND OH
242 DSH360059AJ METROHEALTH MEDICAL CENTER METROHEALTH LEE-HARVARD HEALTH CENTER- DENTISTRY CLEVELAND OH
243 DSH360059AK METROHEALTH MEDICAL CENTER METROHEALTH BUCKEYE HEALTH CENTER- COMMUNITY HLTH (PROF) CLEVELAND OH
244 DSH360059AM METROHEALTH MEDICAL CENTER METROHEALTH BUCKEYE HEALTH CENTER- PULMONARAY MEDICINE CLEVELAND OH
245 DSH360059AN METROHEALTH MEDICAL CENTER METROHEALTH BUCKEYE HEALTH CENTER- PEDS (PROF) CLEVELAND 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 8 of 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
246 DSH360059AU METROHEALTH MEDICAL CENTER METROHEALTH BROADWAY HEALTH CENTER - ADULT PSYCHIATRY CLEVELAND OH
247 DSH360059AV METROHEALTH MEDICAL CENTER METROHEALTH PEPPER PIKE HEALTH CENTER-PLASTIC SURGERY (PROF) - PEPPER PIKE PEPPER PIKE OH
248 DSH360059AW METROHEALTH MEDICAL CENTER METROHEALTH PEPPER PIKE HEALTH CENTER-DERMATOLOGY - PEPPER PIKE PEPPER PIKE OH
249 DSH360059AX METROHEALTH MEDICAL CENTER METROHEALTH ASIA TOWN HEALTH CENTER- MULTI SPECIALTY PRACTICE CLEVELAND OH
250 DSH360059AY METROHEALTH MEDICAL CENTER METROHEALTH ASIA TOWN HEALTH CENTER- COMMUNITY HLTH (PROF) CLEVELAND OH
251 DSH360059BL METROHEALTH MEDICAL CENTER METROHEALTH SYSTEM / FETAL DIAGNOSTIC CENTER MOSC CLEVELAND OH
252 DSH360059BM METROHEALTH MEDICAL CENTER METROHEALTH SYSTEM / MULTI-SPECIALTY PRACTICE-WESTLAKE KING JAMES WESTLAKE OH
253 DSH360059C METROHEALTH MEDICAL CENTER METROHEALTH OLD BROOKLYN SENIOR HEALTH & WELLNESS CENTER CLEVELAND OH
254 DSH360059CH METROHEALTH MEDICAL CENTER METROHEALTH SYSTEM / MULTI SPECIALTY PRACTICE - STRONGSVILLE CLEVELAND OH
255 DSH360059CR METROHEALTH MEDICAL CENTER METROHEALTH WEST 150TH HEALTH & SUR / PM&R CLINIC - MHOSC CLEVELAND OH
256 DSH360059CS METROHEALTH MEDICAL CENTER METROHEALTH ASIA PLAZA HEALTH CENTE / MULTI SPECIALTY PRACTICE - ASIA CLEVELAND OH
257 DSH360059D METROHEALTH MEDICAL CENTER METROHEALTH BROOKLYN HEALTH CENTER CLEVELAND OH
258 DSH360059DL METROHEALTH MEDICAL CENTER METROHEALTH SYSTEM / PMR CLIN / OCCUP THERAPY - OBC PMR CLINIC CLEVELAND OH
259 DSH360059E METROHEALTH MEDICAL CENTER THOMAS F. MCCAFFERTY HEALTH CENTER CLEVELAND OH
260 DSH360059EJ METROHEALTH MEDICAL CENTER
METROHEALTH ASIA PLAZA HEALTH CENTE / ASIA INTERNAL MEDICINE & FAMILY
PRACTIVE CLEVELAND OH
261 DSH360059EM METROHEALTH MEDICAL CENTER METROHEALTH WEST PARK BUILDING / CCH (PROF) - WEST PARK UROLOGY CLEVELAND OH
262 DSH360059F METROHEALTH MEDICAL CENTER METROHEALTH MIDDLEBURG HEIGHTS NOVEMBER FAMILY HEALTH CENTER MIDDLEBURG HEIGHTSOH
263 DSH360059FA METROHEALTH MEDICAL CENTER METROHEALTH BUCKEYE HEALTH CENTER / ALLERGY/IMMUNOLOGY - BUCKEYE/SLF CLEVELAND OH
264 DSH360059G METROHEALTH MEDICAL CENTER METROHEALTH WEST PARK HEALTH CENTER CLEVELAND OH
265 DSH360059H METROHEALTH MEDICAL CENTER METROHEALTH WEST 150TH HEALTH AND SURGERY CENTER CLEVELAND OH
266 DSH360059HW METROHEALTH MEDICAL CENTER METROHEALTH SYSTEM / DERMATOLOGY - BROADWAY CLEVELAND OH
267 DSH360059J METROHEALTH MEDICAL CENTER METROHEALTH BROADWAY HEALTH CENTER CLEVELAND OH
268 DSH360059K METROHEALTH MEDICAL CENTER J. GLEN SMITH HEALTH CENTER CLEVELAND OH
269 DSH360059L METROHEALTH MEDICAL CENTER METROHEALTH LEE-HARVARD HEALTH CENTER CLEVELAND OH
270 DSH360059M METROHEALTH MEDICAL CENTER METROHEALTH ASIA TOWN HEALTH CENTER CLEVELAND OH
271 DSH360059N METROHEALTH MEDICAL CENTER MetroHealth Pepper Pike Health Center Pepper Pike OH
272 DSH360059P METROHEALTH MEDICAL CENTER MetroHealth Beachwood Health Center Beachwood OH
273 DSH360059Q METROHEALTH MEDICAL CENTER MetroHealth Westlake Health Center Westlake OH
274 DSH360059X METROHEALTH MEDICAL CENTER METROHEALTH WEST PARK HEALTH CENTER - OB/GYN CLEVELAND OH
275 DSH360059Z METROHEALTH MEDICAL CENTER METROHEALTH WEST 150TH HEALTH AND SURGERY CENTER - UROLOGY CLEVELAND 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 9 of 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
276 DSH370028A INTEGRIS BAPTIST MEDICAL CENTER, INC. INTEGRIS SAMARITAN INFUSION OKLAHOMA CITY OK
277 DSH390086CZ DUBOIS REGIONAL MEDICAL CENTER Penn Highlands Center Pediatrics Grah/Mar/Sor -Philipsburg 93260 Philipsburg PA
278 DSH390198 MILLCREEK COMMUNITY HOSPITAL ERIE PA
279 DSH410007U RHODE ISLAND HOSPITAL Child Protection Clinic (Hasbro) Providence RI
280 DSH470003AF UNIVERSITY OF VERMONT MEDICAL CENTER Continence Center, FAH MOB Colchester VT
281 DSH490053 JOHNSTON MEMORIAL HOSPITAL ABINGDON VA
282 DSH490053B Johnston Memorial Hospital, Inc. Johnston Memorial Hospital Outpatient Surgery Center Abingdon VA
283 DSH500008AM UNIVERSITY OF WASHINGTON MED CTR UWMC Hec Ed Pavilion / ER Med Svc Seattle WA
284 DSH520075G ST. VINCENT HOSPITAL MARINETTE / MEDICAL ONCOLOGY MARINETTE WI
285 FP117178 SUFFOLK COUNTY DEPARTMENT OF HEALTH BRENTWOOD FAMILY HEALTH CENTER BRENTWOOD NY
286 FP119019 SUFFOLK COUNTY DEPARTMENT OF HEALTH RIVERHEAD HEALTH CENTER RIVERHEAD NY
287 FP14621 Highland Hospital Highland Family Planning Rochester NY
288 FP346395 FLORIDA DEPARTMENT OF HEALTH IN PASCO COUNTY LAND O'LAKES FAMILY PLANNING CLINIC LAND O'LAKES FL
289 FP482029 Institute of Population Health Detroit MI
290 FP974707 DOUGLAS CO HEALTH AND SOCIAL SERVICES ROSEBURG CLINIC ROSEBURG OR
291 FQ60 HARVARD STREET NEIGHBORHOOD HEALTH CENTER DORCHESTER MA
292 FQ61 UPHAM'S CORNER HEALTH CENTER UPHAM'S CORNER HEALTH COMMITTEE DORCHESTER MA
293 FQHCLA150 UNITED COMMUNITY & FAMILY SERVICES, INC. NORWICH CT
294 FQHCLA150A UNITED COMMUNITY SERVICES INC BHS Site - Satellite Colchester CT
295 FQHCLA150C UNITED COMMUNITY SERVICES INC UCFS at Griswold - Satellite Jewett City CT
296 FQHCLA150D UNITED COMMUNITY SERVICES INC UCFS Plainfield Health Center Moosup CT
297 FQHCLA184B CHEROKEE HEALTH SYSTEMS CHS Sevier County Seymour TN
298 FQHCLA192 Sadler Health Center Corporation Carlisle PA
299 FQHCLA209 HARBOR FREE CLINIC, INC HARBOR COMMUNITY CLINIC SAN PEDRO CA
300 FQHCLA209A HARBOR COMMUNITY CLINIC Harbor Community Clinic - Pediatric Site San Pedro CA
301 FQHCLA228 UNION COMMUNITY HEALTH CENTER BRONX NY
302 FQHCLA228A UNION COMMUNITY HEALTH CENTER BRONX NY
303 FQHCLA228B UNION COMMUNITY HEALTH CENTER BRONX NY
304 FQHCLA257 MARIAS HEALTHCARE SERVICES, INC. SHELBY MT
305 FQHCLA257A MARIAS HEALTHCARE SERVICES, INC. VALIER MT
306 FQHCLA257B MARIAS HEALTHCARE SERVICES, INC. SUNBURST MT
307 FQHCLA267 VIETNAMESE COMMUNITY OF ORANGE COUNTY Southland Health Center GARDEN GROVE 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 10 of 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
308 FQHCLA274 GENESIS HEALTH CARE, INC. DARLINGTON SC
309 FQHCLA274A GENESIS HEALTH CARE, INC. OLANTA SC
310 FQHCLA278 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION LOS ANGELES CA
311 FQHCLA278A CENTRAL NEIGHBORHOOD HEALTH FOUNDATION Central Neighborhood Health Foundation Los Angeles CA
312 FQHCLA282A Hopewell Health Centers, Inc. Hopewell Health Centers - Coolville Coolville OH
313 FQHCLA306 APICHA Community Health Center New York NY
314 FQHCLA309 BENEVOLENCE INDUSTRIES INCORPORATED Central Medical Clinic Los Angeles CA
315 FQHCLA309A BENEVOLENCE INDUSTRIES INCORPORATED Crenshaw Community Clinic Los Angeles CA
316 FQHCLA313 Oakland Integrated Healthcare Network, Inc. OIHN - FMC Pontiac MI
317 FQHCLA318 NORTH GEORGIA HEALTHCARE CENTER, INC. North Georgia Healthcare Center Ringgold GA
318 FQHCLA321A Southern California Medical Center Southern California Medical Center El Monte CA
319 FQHCLA322 COMPLETE CARE COMMUNITY HEALTH CENTER, INC. COMPLETE CARE COMMUNITY HEALTH CENTER Los Angeles CA
320 FQHCLA330 BOND COMMUNITY HEALTH CENTER INC Bond Community Health Center (Main Site) Tallahassee FL
321 FQHCLA330A BOND COMMUNITY HEALTH CENTER INC Bond-Housing Authority Primary Care Center (BHAPCC) TALLAHASSEE FL
322 FQHCLA330C BOND COMMUNITY HEALTH CENTER INC Bond Community Health Center (Mobile Unit) Tallahassee FL
323 FQHCLA330D BOND COMMUNITY HEALTH CENTER INC Renaissance Community Center (Homeless) Tallahassee FL
324 FQHCLA333 BANYAN COMMUNITY HEALTH CENTER, INC. BCHC Administration Only MIAMI FL
325 FQHCLA333A BANYAN COMMUNITY HEALTH CENTER, INC. Flagler Main Site MIAMI FL
326 FQHCLA333B BANYAN COMMUNITY HEALTH CENTER, INC. Banyan Community Health Center- 3850 CORAL GABLES FL
327 FQHCLA333C BANYAN COMMUNITY HEALTH CENTER, INC. Banyan Community Health Center - W. Flagler Coral Gables FL
328 FQHCLA61A UPHAM'S CORNER HEALTH COMMITTEE, INC UPHAM'S CORNER HEALTH CENTER DORCHESTER MA
329 HM12141 VANDERBILT UNIVERSITY HOSPITAL AND CLINIC COMPREHENSIVE HEMOPHILIA CLINIC NASHVILLE TN
330 HV00621B AIDS RESOURCE CENTER OF WISCONSIN MADISON OFFICE MADISON WI
331 PED063301-06 THE CHILDREN'S HOSPITAL ASSOCIATION Children's Hospital Colorado - Memorial Printers Park Peds PT- Outpatient Colorado Springs CO
332 PED063301-07 THE CHILDREN'S HOSPITAL ASSOCIATION Children's Hospital Colorado - Pueblo Speech Pathology Pueblo CO
333 PED063301-12 THE CHILDREN'S HOSPITAL ASSOCIATION Children's Hospital Colorado - Centennial OP Specialty Care Aurora CO
334 PED063301-13 THE CHILDREN'S HOSPITAL ASSOCIATION Children's Hospital Colorado - Briargate COS OP Specialty Care Colorado Springs CO
335 PED063301-15 THE CHILDREN'S HOSPITAL ASSOCIATION Children's Hospital Colorado - Littleton Physical Therapy Littleton CO
336 PED063301-17 THE CHILDREN'S HOSPITAL ASSOCIATION Children's Hospital Colorado - Briargate Oncology Clinic Colorado Springs CO
337 PED263302-32 The Children's Mercy Hospital East Campus Cariology Clinic Kansas City MO
338 RRC050014-00 SUTTER AMADOR HOSPITAL JACKSON 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 11 of 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
339 RRC230080-03 Central Michigan Community Hospital D/B/A McLaren Central Michigan Martin Jennings Mount Pleasant MI
340 RRC230080-12 Central Michigan Community Hospital D/B/A McLaren Central Michigan Jeffrey Khabir Mount Pleasant MI
341 RRC230080-18 Central Michigan Community Hospital D/B/A McLaren Central Michigan Alex Corcoran PA-C Clinic Mount Pleasant MI
342 RRC230080-21 Central Michigan Community Hospital D/B/A McLaren Central Michigan Amitava Ghosh MD-FACS Clinic Mount Pleasant MI
343 RRC230080-27 Central Michigan Community Hospital D/B/A McLaren Central Michigan John Caldwell MD Clinic Mount Pleasant MI
344 RRC270004-00 Billings Clinic Hospital Billings MT
345 RRC270004-01 Billings Clinic Hospital DBA Billings Clinic West End Billings MT
346 RRC270004-02 Billings Clinic Hospital DBA Billing Clinic Height Billings MT
347 RRC270004-03 Billings Clinic Hospital Billings Clinic Surgery Center Billings MT
348 RRC270004-05 Billings Clinic Hospital Billings Clinic Diabetes and Endocrinology Billings MT
349 RRC270004-06 Billings Clinic Hospital Billings Clinic Orthopedics and Sports Medicine Billings MT
350 RRC270004-09 BILLINGS CLINIC DOWNTOWN CLINIC / GERIATRIC SERVICES Billings MT
351 RRC270004-10 BILLINGS CLINIC DOWNTOWN CLINIC / ALLERGY Billings MT
352 RRC270004-11 BILLINGS CLINIC DOWNTOWN CLINIC / CARDIOLOGY Billings MT
353 RRC270004-12 BILLINGS CLINIC DOWNTOWN CLINIC / CARDIAC SURGERY Billings MT
354 RRC270004-13 BILLINGS CLINIC DOWNTOWN CLINIC / DERMATOLOGY Billings MT
355 RRC270004-14 BILLINGS CLINIC DOWNTOWN CLINIC / ENT Billings MT
356 RRC270004-15 BILLINGS CLINIC DOWNTOWN CLINIC / FACIAL PLASTICS Billings MT
357 RRC270004-16 BILLINGS CLINIC DOWNTOWN CLINIC / GASTROENTEROLOGY Billings MT
358 RRC270004-17 BILLINGS CLINIC DOWNTOWN CLINIC / GENERAL SURGERY Billings MT
359 RRC270004-18 BILLINGS CLINIC DOWNTOWN CLINIC / GYN/ONCOLOGY Billings MT
360 RRC270004-19 BILLINGS CLINIC DOWNTOWN CLINIC / HOSPITALIST Billings MT
361 RRC270004-20 BILLINGS CLINIC DOWNTOWN CLINIC / INFECTIOUS DISEASE Billings MT
362 RRC270004-21 BILLINGS CLINIC DOWNTOWN CLINIC / INTERNAL MEDICINE Billings MT
363 RRC270004-22 BILLINGS CLINIC DOWNTOWN CLINIC / NEONATOLOGY Billings MT
364 RRC270004-23 BILLINGS CLINIC DOWNTOWN CLINIC / NEPHROLOGY Billings MT
365 RRC270004-24 BILLINGS CLINIC DOWNTOWN CLINIC / NEUROLOGY Billings MT
366 RRC270004-25 BILLINGS CLINIC DOWNTOWN CLINIC / NEUROSURGERY Billings MT
367 RRC270004-26 BILLINGS CLINIC DOWNTOWN CLINIC / OB/GYN Billings 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 12 of 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
368 RRC270004-27 BILLINGS CLINIC DOWNTOWN CLINIC / REPROD ENDOCRINOLOGY & INFERT Billings MT
369 RRC270004-28 BILLINGS CLINIC DOWNTOWN CLINIC / MATERNAL FETAL MEDICINE Billings MT
370 RRC270004-29 BILLINGS CLINIC DOWNTOWN CLINIC / INVITROFERTILIZATION Billings MT
371 RRC270004-30 BILLINGS CLINIC DOWNTOWN CLINIC / MEDICAL ONCOLOGY Billings MT
372 RRC270004-31 BILLINGS CLINIC DOWNTOWN CLINIC / OPHTHALMOLOGY Billings MT
373 RRC270004-32 BILLINGS CLINIC DOWNTOWN CLINIC / PODIATRY Billings MT
374 RRC270004-33 BILLINGS CLINIC DOWNTOWN CLINIC / PHYSICAL MEDICINE & REHAB Billings MT
375 RRC270004-34 BILLINGS CLINIC DOWNTOWN CLINIC / CLINIC PULMONARY Billings MT
376 RRC270004-35 BILLINGS CLINIC DOWNTOWN CLINIC / RHEUMATOLOGY Billings MT
377 RRC270004-36 BILLINGS CLINIC DOWNTOWN CLINIC / SAMEDAY CARE Billings MT
378 RRC270004-37 BILLINGS CLINIC DOWNTOWN CLINIC / UROLOGY Billings MT
379 RRC270004-38 BILLINGS CLINIC DOWNTOWN CLINIC / ANTICOAGULATION CLINIC Billings MT
380 RRC270004-39 BILLINGS CLINIC DOWNTOWN CLINIC / INTEGRATIVE MEDICINE Billings MT
381 RRC270004-40 BILLINGS CLINIC DOWNTOWN CLINIC / WOUND CARE CLINIC Billings MT
382 RRC270004-41 BILLINGS CLINIC DOWNTOWN CLINIC / AMBULATORY PHARMACY SERVICES Billings MT
383 RRC270004-42 BILLINGS CLINIC DOWNTOWN CLINIC / WOUND AND OSTOMY Billings MT
384 RRC270004-43 BILLINGS CLINIC DOWNTOWN CLINIC / ECHO Billings MT
385 RRC270004-44 BILLINGS CLINIC DOWNTOWN CLINIC / PULMONARY CENTER Billings MT
386 RRC270004-45 BILLINGS CLINIC DOWNTOWN CLINIC / SLEEP CENTER Billings MT
387 RRC270004-46 BILLINGS CLINIC DOWNTOWN CLINIC / INFUSION CENTER Billings MT
388 RRC270004-47 BILLINGS CLINIC DOWNTOWN CLINIC / RADIATION ONCOLOGY Billings MT
389 RRC270004-48 BILLINGS CLINIC DOWNTOWN CLINIC / RADIOLOGY-DIAGNOSTIC Billings MT
390 RRC270004-49 BILLINGS CLINIC DOWNTOWN CLINIC / CENTER FOR BREAST HEALTH Billings MT
391 RRC270004-50 BILLINGS CLINIC 27th ST MEDICAL BUILDING / BEHAVIORAL HEALTH CLINIC BILLINGS MT
392 RRC270004-51 BILLINGS CLINIC 27th ST MEDICAL BUILDING / OCCUPATIONAL MEDICINE Billings MT
393 RRC270004-52 BILLINGS CLINIC DIALYSIS-SHERIDAN Sheridan WY
394 RRC270004-53 BILLINGS CLINIC PSYCHIATRIC CENTER / PSYCH PAC TEAM Billings MT
395 RRC270004-54 BILLINGS CLINIC PSYCHIATRIC CENTER / YOUTH PARTIAL HOSPITALIZ PROG Billings MT
396 RRC270004-55 BILLINGS CLINIC PSYCHIATRIC CENTER / PSYCHIATRIC HOSPITALIST Billings MT
397 RRC350011-72 SANFORD MEDICAL CENTER - FARGO Sanford IM Wellness Center Fargo ND
398 RRC440125-01 FORT SANDERS REGIONAL MEDICAL CENTER THOMPSON INFUSION CENTER MARYVILLE TN
399 RRC440125-09 FORT SANDERS REGIONAL MEDICAL CENTER THOMPSON INFUSION CTR WEST KNOXVILLE TN
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 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
400 RW24847 Drexel University Drexel University Philadelphia PA
401 RWI98104 HARBORVIEW MEDICAL CENTER MADISON CLINIC SEATTLE WA
402 RWII342372 Comprehensive Care Center, Inc. dba Community AIDS Network Tampa FL
403 RWII87110 New Mexico AIDS Services, Inc. Albuquerque NM
404 SCH240075-00 ST. JOSEPHS MEDICAL CENTER BRAINERD MN
405 SCH240075-01 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Pulmonary Disease Brainerd MN
406 SCH240075-02 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Cardiology Brainerd MN
407 SCH240075-03 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Endocrinology - Brainerd Brainerd MN
408 SCH240075-04 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Gastroenterology Brainerd MN
409 SCH240075-05 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Hemotology/Oncology Brainerd MN
410 SCH240075-06 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Baxter Clinic / Family Practice Baxter MN
411 SCH240075-07 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Rheumatology Brainerd MN
412 SCH240075-08 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Allergy Brainerd MN
413 SCH240075-09 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / General Internal Medicine Brainerd MN
414 SCH240075-10 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Primary Care Psych Brainerd MN
415 SCH240075-11 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Neurology Brainerd MN
416 SCH240075-12 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / General Surgery Brainerd MN
417 SCH240075-13 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Podiatry Brainerd MN
418 SCH240075-14 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / ENT Brainerd MN
419 SCH240075-15 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Baxter Clinic / Urgent Care Baxter MN
420 SCH240075-16 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Anticoagulation Management Brainerd MN
421 SCH240075-17 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Family/General Practice Brainerd MN
422 SCH240075-18 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Travel Brainerd MN
423 SCH240075-19 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Brainerd Clinic / Urology Brainerd MN
424 SCH240075-20 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Pierz Clinic Pierz MN
425 SCH240075-21 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Pequot Lakes Clinic Pequot Lakes MN
426 SCH240075-22 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's Pine River Clinic Pine River MN
427 SCH240075-23 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Crosslake Clinic Crosslake MN
428 SCH240075-24 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Pillager Clinic Pillager MN
429 SCH240075-25 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's- Lakeland Psychiatry Clinic Brainerd MN
430 SCH240075-26 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Baxter Clinic / General Pediatrics Baxter 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 14 of 15
340B Covered Entity Terminations List - Terminations
Effective 10/2/2015 through 1/1/2016 (439 total)
Row
Num
340B ID Entity Name Entity Sub-Division Name City
Stat
e
431 SCH240075-27 ST. JOSEPHS MEDICAL CENTER Essentia Health St. Joseph's - Baxter Clinic / OB & Gynecology Baxter MN
432 STD27611 NC DEPT OF HEALTH & HUMAN SERVICES DIVISION OF PUBLIC HEALTH, COMMUNICABLE DISEASE BRANCH RALEIGH NC
433 STD292041 Palmetto AIDS Life Support Services, Inc. Columbia SC
434 STD323043 PLANNED PARENTHOOD OF NORTH FLORIDA TALLAHASSEE TALLAHASSEE FL
435 STD32601 PLANNED PARENTHOOD OF NORTH FLORIDA GAINESVILLE GAINESVILLE FL
436 STD32806 Comprehensive Care Center, Inc. dba Community AIDS Network Orlando FL
437 STD34639 Florida Department of Health PASCO County Health Department - LAND O' LAKES Land O'Lakes FL
438 STD81008 PLANNED PARENTHOOD OF THE ROCKY MOUNTAINS, INC. PUEBLO CO
439 STD94110 PLANNED PARENTHOOD SHASTA-DIABLO SAN FRANCISCO CENTER SAN FRANCISCO 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 15 of 15
