340B Covered Entity Terminations List Effective 10/01/2014

Transcription

Entity Sub-Division NameCityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities listed)Effingham Family MedicineRinconGAFOLKSTONSLATERSac LANGAIAIAKSKSKSKSKYKYLA1213CAH111306-03 EFFINGHAM HOSPITALHOSPITAL AUTHORITY OF CHARLTON COUNTY DBA CHARLTON MEMORIALCAH111315-00 HOSPITALCAH161333-03 STORY COUNTY HOSPITAL DBA STORY COUNTY MEDICAL CENTERCAH161370-00 Loring HospitalCAH171318-00 SEDAN CITY HOSPITALCAH171337-00 WAMEGO HOSPITAL ASSOCIATIONCAH171358-00 Lindsborg Community Hospital AssociationCAH171382-02 Atchison Hospital AssociationCAH181301-02 Marcum & Wallace Memorial Hospital, Inc.CAH181323-03 Ohio County HospitalCAH191322-00 ABROM KAPLAN MEMORIAL HOSPIALPIONEER HEALTH SERVICES OF MONROE COUNTY, INC. D/B/A PIONEERCAH251302-04 COMMUNITY HOSPITALCAH261306-00 SULLIVAN COUNTY MEMORIAL HOSPITALPIONEER FAMILY MEDICAL OF wn County HospitalWEEKS MEDICAL CENTERWEEKS MEDICAL CENTERTHE NEW LONDON HOSPITAL ASSOCIATION, INCALICE PECK DAY MEMORIAL HOSPITALBrown County Hospital dba Ainsworth Family ClinicWEEKS MEDICAL CENTER-HOME HEALTHWEEKS MEDICAL CENTER-HOSPICETHE CLOUGH CENTERMIDWIFERY AT ALICE PECK DAY HOSPITALAinsworthLANCASTERLANCASTERNEW 02-02CAH451314-00CAH451314-01CAH451335-00CLAYTON HEALTH SYSTEMS, INC. DBA UNION COUNTY GENERAL HOSPITALSWAIN COUNTY HOSPITALPENDER MEMORIAL HOSPITALMERCY MEMORIAL HOSPITALLAKE DISTRICT HOSPITALLAKE DISTRICT HOSPITALMeyersdale Medical CenterMeyersdale Community HospitalMeyersdale Community HospitalWinkler County Memorial HospitalWinkler County Memorial HospitalMUENSTER MEMORIAL HOSPITALCLAYTONBRYSON 0880HO01The Richland Hospital Inc.West Park Hospital DistrictPROJECT HOPEValley Health Systems, Inc.Richland 011340B IDEntity NameSLATER CLINICFamily Medical Center of EffinghamMercy Health Clinic IIDowntown ClinicLONG TERM CARE FACILITYSWING BEDFamily Healthcare Meyersdale RHCFamily Healthcare Salisbury RHCWCMH Rural Health ClinicBig Horn Basin DialysisVOA-ALETHA WRIGHT MEN'S SHELTERMilan-Puskar Health RightThis list may not include all terminations due to individual extenuating circumstancesPlease review the entity record in the 340B program database for additional termination detailsPage 1 of 19

340B IDEntity NameEntity Sub-Division NameCityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities H03293FValley Health Systems, Inc.PEOPLE'S COMMUNITY HEALTH CENTER, INC., THEPEOPLE'S COMMUNITY HEALTH CENTER, INC., THEPEOPLE'S COMMUNITY HEALTH CENTER, INC., THEPEOPLE'S COMMUNITY HEALTH CENTER, INC., 8LCH05758FCH061949HPEOPLE'S COMMUNITY HEALTH CENTER, INC., THEPEOPLE'S COMMUNITY HEALTH CENTER, INC., THEPEOPLE'S COMMUNITY HEALTH CENTER, INC., THEFAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA, INC.RURAL HEALTH MEDICAL PROGRAM, INC.EAU CLAIRE COOPERATIVE HEALTH CENTERPANCARE OF FLORIDA INCCOMMUNITY HEALTH CARE SYSTEMS INCMOBILE, COUNTY OFHEALTHSOURCE OF OHIO, INC.CHICAGO FAMILY HEALTH CENTER, INC.CHICAGO FAMILY HEALTH CENTER, INC.CHICAGO FAMILY HEALTH CENTER, INC.CHICAGO FAMILY HEALTH CENTER, INC.CHICAGO FAMILY HEALTH CENTER, INC.CHICAGO FAMILY HEALTH CENTER, INC.RURAL HEALTH, INC.RURAL HEALTH INCUniversity of IllinoisLONE STAR CIRCLE OF CAREWHEELING HEALTH RIGHT CENTERPEOPLE'S COMMUNITY HEALTH CENTERANNE ARUNDEL FAMILY HEALTHYORKWOOD FAMILY HEALTH CENTEROPEN GATES HEALTH CENTERWEINBERG Center for Behavioral Health, Pharmacy andDental ServicesPeople's at HEROOdenton Health CenterBonita Springs Adult Medical SiteBONITA SPRINGS DENTAL OFFICEVREDENBURGH HEALTH CENTERHopkins Family PracticePanCare Mobile Dental UnitCOMMUNITY HEALTH CARE SYSTEMS-TWIGGSMOBILE CO TRAINING SCHOOL CLINICGreenfieldChicago Family Health Center 89th StreetFAMILY RESCUEMATTHEW HOUSEIT TAKES A VILLAGE(INNER VOICE)Olive Branch MissionMaria ShelterCOBDEN DENTAL CLINICANNA ANNEX PRIMARY CARE CLINICMile Square Health Center Near West ClinicA.W. Grimes Medical OfficesBaltimoreBaltimoreOdentonBonita SpringsBonita SpringsVREDENBURGHHopkinsPANAMA icagoChicagoChicagoChicagoCOBDENAnnaChicagoRound HEAST COMMUNITY HEALTH SYSTEMSSWOPE HEALTH SERVICESNORTHEASTERN RURAL HEALTH CLINICS, INC.ALTAMED HEALTH SERVICES CORPORATIONEAST VALLEY COMMUNITY HEALTH CENTER INCSoutheast Community Health Systems - ZacharySWOPE HEALTH INDEPENDENCEDOYLE FAMILY PRACTICEAltaMed PACE - East Los AngelesEast Valley CHC - Pomona/GareyZacharyINDEPENDENCEDOYLELos 02CHC12862-01CHC24127-01CHC24127-02CLACKAMAS, COUNTY OFWATTS HEALTHCARE CORPORATIONLoudoun Community Health CenterBANYAN COMMUNITY HEALTH CENTER, INC.BANYAN COMMUNITY HEALTH CENTER, INC.Oregon City Beavercreek Clinic - Dental ServicesMagic Johnson School Based Health CenterThe Health Center for Children and FamiliesBanyan Community Health Center - W. FlaglerFlagler Main SiteOregon CityLOS ANGELESSterlingMiamiMIAMIORCAVAFLFLRowNumThis list may not include all terminations due to individual extenuating circumstancesPlease review the entity record in the 340B program database for additional termination detailsPage 2 of 19

340B IDEntity NameEntity Sub-Division NameCityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities listed)717273CHC24197-00DSH010025DSH010059HSNT Social Service Center and Administrative 050054DSH050179DSH050179AHEALTH SERVICES OF NORTH TEXAS , INC.George H. Lanier Memorial HospitalLawrence Medical CenterTHE HEALTHCARE AUTHORITY FOR MEDICAL WEST, AN AFFILIATE OF UABHEALTH SYSTEMCRITTENDEN MEMORIAL HOSPITALCRITTENDEN MEMORIAL HOSPITALUCSD MEDICAL CENTERUCSD MEDICAL CENTERSan Gorgonio Memorial HospitalEMANUEL MEDICAL CENTEREMANUEL MEDICAL CENTEROutpatient Medical Oncology ClinicBESSEMERWEST MEMPHISMarked TreeLa JollaLa 50196MDSH050301BCentral Valley General HospitalUKIAH VALLEY MEDICAL CENTERAdventist Health/Community Care - Kettleman CityRNC - ENTKetleman CityUkiahCACA84DSH050575Tri-City Regional Medical CenterHawaiian os AngelesLos AngelesLOS ANGELESLa CanadaALAMOSANEW HAVENOrlandoCACACACACACACACACOCTFLRowNumRiverside ClinicThornton Hospital - Cardiovascular Clinic IIThornton Hospital - Nutritional ConsultantsCLINICAL NEUROPHYSIOLOGY CLINIC AT AMBULATORYCARE CENTEROBSTETRICS AND GYNECOLOGY CYPRESS CLINICINTERNAL MEDICINE CYPRESS CLINICCHILD PROTECTION CENTER AT GLASSROCKCath Lab Faculty OP ClinicGamma Knife CenterSURGERY CLINICKeck Medical Center of USC- La CanadaSTUART AVENUE CLINICTemple EndoscopyInfectious Disease - Hosp SH050696JDSH060008ADSH070022BWDSH100006QUNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTERUNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTERUNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTERUNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTERCEDARS-SINAI MEDICAL CENTERCEDARS-SINAI MEDICAL CENTERKeck Hospital of USCKeck Hospital of USCSAN LUIS VALLEY REGIONAL MEDICAL CENTERYALE NEW HAVEN HOSPITALORLANDO HEALTH969798DSH100007BM Florida HospitalDSH100025AZ SACRED HEART HEALTH SYSTEMDSH100025XSACRED HEART HEALTH SYSTEMFlorida Hospital Orlando Recovery, Obs & Photopheresis OrlandoTiger Point IIGulf BreezeSACRED HEART MEDICAL GROUP - 007KDSH110007SDSH110073DChipola Surgical & Medical Specialties - UrologyPhoebe Industrial RehabPhoebe Worth Wound Care CenterWOUND CARE CENTERFLGAGAGAJACKSON HOSPITALPHOEBE PUTNEY MEMORIAL HOSPITALPHOEBE PUTNEY MEMORIAL HOSPITALDORMINY MEDICAL CENTERThis list may not include all terminations due to individual extenuating circumstancesPlease review the entity record in the 340B program database for additional termination detailsPage 3 of 19MariannaAlbanySylvesterFITZGERALD

340B IDEntity NameEntity Sub-Division NameCityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities 7BCDSH130007BGDSH130007EDSH130007WDSH140114FSaint Alphonsus Regional Medical CenterSaint Alphonsus Regional Medical CenterSaint Alphonsus Regional Medical CenterSaint Alphonsus Regional Medical CenterSaint Alphonsus Regional Medical CenterSaint Alphonsus Regional Medical CenterSaint Alphonsus Regional Medical CenterSaint Alphonsus Regional Medical CenterSaint Alphonsus Regional Medical CenterSWEDISH COVENANT HOSPITALSAMG Gynecology OncologySAMG Wound And Hyperbaric BoiseSAMG Spasticity BoiseSAMG Pediatric Orthopedics HartmanSAMG Comprehensive Pain SpineSAMG Palliative Care BoiseSAMG Vascular Services Boise 300SAMG Occupational Med MHPSAMG Boise Pediatrics MulvaneyHOME HEALTH 140137ESwedish Covenant HospitalTHOREK HOSPITAL AND MEDICAL CENTERRUSH UNIVERSITY MEDICAL CENTERRUSH UNIVERSITY MEDICAL CENTERRUSH UNIVERSITY MEDICAL CENTERGreenville Regional Hospital, IncOutpatient Oncology Infusion Center EvanstonCLARK/IRVING SENIOR CENTERPROFESSIONAL OFFICE BUILDINGINFUSION CENTERHOME INFUSION SOLUTIONS CENTERConvenient CareEvanstonCHICAGOCHICAGOCHICAGOOAK PARKGreenvilleILILILILILIL119DSH140137FGreenville Regional Hospital, 1KDSH150061LDSH150061MDSH150061NDSH150061PLOYOLA UNIVERSITY MEDICAL CENTERMARION GENERAL HOSPITAL, INC.DeKalb Memorial Hospital IncINDIANA UNIVERSITY HEALTH INCDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalDaviess Community HospitalMulberry 5126127128129130131132133134135136137138Greenville Family Wellness Center - Mulberry GroveLOYOLA PRIMARY CARE CENTER AT OAK BROOKTERRACEMGH DIAGNOSTICS - KEM VIEWRowNumIU Health Emergency DepartmentGrand Avenue PediatricsNorth Daviess Medical ClinicQuick Care ClinicDaviess Martin Medical ClinicDCH Medical ClinicDr. Thorne Ortho & Sports MedicineWound Care CenterWashington Surgical AssociatesDCH Diabetes & EndocrinologyDiabetes ManagementAdvanced OrthopedicsGrand Avenue PediatricsNorth Daviess Medical ClinicQuick Care ClinicThis list may not include all terminations due to individual extenuating circumstancesPlease review the entity record in the 340B program database for additional termination detailsPage 4 of 19ILININININININININININININININININININ

340B IDEntity NameEntity Sub-Division NameCityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities 2BDaviess Community HospitalDaviess Community HospitalST. VINCENT HOSPITAL AND HEALTH CARE CENTERST. VINCENT HOSPITAL AND HEALTH CARE CENTERINDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INC.CATHOLIC HEALTH INITIATIVES - IOWA, CORPCATHOLIC HEALTH INITIATIVES - IOWA, CORPJENNIE STUART MEDICAL CENTERHUEY P. LONG MEDICAL CENTERWEST JEFFERSON MEDICAL CENTERCHRISTUS Health Shreveport-BossierTOURO INFIRMARYHOMER MEMORIAL HOSPITALOCHSNER MEDICAL CENTER - NORTHSHORE LLCCENTRAL MAINE MEDICAL CENTERCENTRAL MAINE MEDICAL CENTERMAINEGENERAL MEDICAL CENTERMAINEGENERAL MEDICAL CENTERMAINEGENERAL MEDICAL CENTERMAINEGENERAL MEDICAL CENTERNORTHERN MAINE MEDICAL CENTERNORTHERN MAINE MEDICAL CENTERNORTHERN MAINE MEDICAL CENTERDaviess Martin Medical ClinicDaviess Community Hospital Medical ClinicST. VINCENT STRESS CENTERSt. Vincent HospiceIUH BMH Rehab ServicesMERCY BEHAVIORAL HEALTH (HOSPITAL DEPT)MERCY WIEGHT LOSS AND NUTRITION ME162DSH200052CNORTHERN MAINE MEDICAL CENTERAcadia Family HealthMedical Office BuildingValley Medical Association d/b/a Fort Kent napolisYorktownDES ew ervilleWatervilleFairfieldFORT KENTMadawaskaFort KentFort ERN MAINE MEDICAL CENTERNORTHERN MAINE MEDICAL CENTEROAKWOOD HOSPITAL & MEDICAL CENTER (OHMC)Valley Medical Association d/b/a James Harris, MDStation Hill RHCOakwood Outpatient Dialysis CenterFort KentFort KentDearbornMEMEMI166DSH230053FDHENRY FORD HOSPITALHamtramckMI167DSH230053LTHENRY FORD HOSPITALHenry Ford Medical Center Hamtramck PodiatryHenry Ford Medical Center East Jefferson GeriatricMedicineSt. Clair ShoresMI168DSH230053MK HENRY FORD HOSPITALDetroitMI169DSH230053MLHENRY FORD HOSPITALWarrenMI170DSH230053QIHenry Ford HospitalHenry Ford Medical Center Harbortown After HoursHenry Ford Medical Center Warren OccupationalTherapyHenry Ford Medical Center Southfield OccupationalMedicine RehabSouthfieldMIRowNumPEDIATRICS SPECIALTYNHL EMERGENCY RM 2Internal Medicine & Family PracticeWomen's HealthBrunswick PulmonologyMaineGeneral Vascular & General SurgeryMaineGeneral NeurologyKennebec Valley Surgical PartnersMaineDarthmouth Family PracticeThis list may not include all terminations due to individual extenuating circumstancesPlease review the entity record in the 340B program database for additional termination detailsPage 5 of 19

RowNum340B IDEntity Name171172DSH230072MDSH240106HHOLLAND HOSPITALREGIONS MEMORIAL HOSPITAL AT GULFPORTSINGING RIVER HEALTH SYSTEMSINGING RIVER HEALTH SYSTEMSINGING RIVER HEALTH SYSTEMLESTER E COX MEDICAL CENTERS DBA COXHEALTHLESTER E COX MEDICAL CENTERS DBA COXHEALTHLESTER E COX MEDICAL CENTERS DBA COXHEALTH180DSH260040GLESTER E COX MEDICAL CENTERS DBA 1PDSH320021QDSH330047JDSH330055MNEVADA CITY HOSPITAL DBA NEVADA REGIONAL MEDICAL CENTERJOHN FITZGIBBON MEMORIAL HOSPITAL, INC.JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.ST MARY'S HOSPITAL - PASSAICSt. Joseph's Hospital and Medical CenterCAPITAL HEALTH SYSTEM - FULDUNIVERSITY OF NEW MEXICO HOSPITALMemorial Medical Center, Inc.PRESBYTERIAN HOSPITALPRESBYTERIAN HOSPITALPRESBYTERIAN HOSPITALPRESBYTERIAN HOSPITALPRESBYTERIAN HOSPITALPRESBYTERIAN HOSPITALPRESBYTERIAN HOSPITALPRESBYTERIAN HOSPITALPRESBYTERIAN HOSPITALPRESBYTERIAN HOSPITALST. MARYS HEALTHCARETHE NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS202203204DSH330086DSH330108ADSH330108BTHE MOUNT VERNON HOSPITALST. JOSEPH'S HOSPITALST. JOSEPH'S HOSPITALCityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities listed)HollandSt. MOPMG LOS LUNASPMG Rio Rancho High Resort 4005PMG ATRISCOPMG BELENPMG HIGH RESORT 4100PMG ISLETAPMG MONTGOMERYPMG NORTHSIDEPMG RIO RANCHO SOUTHERNPMG SAN MATEOHealth Center at St. JohnsvilleHealth Outreach: Services For Older AdultsNEVADAMARSHALLSlaterBrunswickPASSAICFair LawnTrentonAlbuquerqueLas CrucesLOS LUNASRio RanchoALBUQUERQUEBELENRIO RANCHOALBUQUERQUEALBUQUERQUEALBUQUERQUERIO RANCHOALBUQUERQUESt. NMNMNMNYNYELMIRA PRIMARY CAREBIG FLATS PRIMARY CAREMOUNT VERNONELMIRABIG FLATSNYNYNYEntity Sub-Division NameOutpatient and Substance Abuse Behavioral HealthServicesHSC Radiology DepartmentMEMORIAL HOSPITAL AT GULFPORT D/B/ - Urology atCedar LakeSRHS Clinics - D'IbervilleSRHS Clinics - GautierOccupational Health and WellnessBONE AND JOINT CENTERTURNER CENTERCOX MEYER CENTERMARTIN CENTER FOR DIAGNOSTIC AND IMAGINGSERVICESORTHOPEDIC SPECIALTY SERVICESAkeman McBurney ClinicGrand River Medical ClinicSt. Joseph's Cardiovascular Center - Fair LawnSatellite Emergency DepartmentUNMH Clinical Neurosciences CenterThis list may not include all terminations due to individual extenuating circumstancesPlease review the entity record in the 340B program database for additional termination detailsPage 6 of 19

340B IDEntity NameEntity Sub-Division NameCityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities 4DSH330232HDSH330372ST. JOSEPH'S HOSPITALST. JOSEPH'S HOSPITALSOUND SHORE MEDICAL CENTERSETON HEALTH SYSTEMFranklin HospitalSOUTHPORT PRIMARY CAREST. JOSEPH'S HOSPITAL INFUSION CLINICELMIRAELMIRANEW ROCHELLECOHOESValley StreamNYNYNYNYNY210DSH340013RUTHERFORD HOSPITAL, h Memorial Hospital, Inc d/b/a Novant Health Forsyth Medical CenterHARRIS REGIONAL 340023KHARRIS REGIONAL HOSPITALHARRIS REGIONAL HOSPITALHARRIS REGIONAL HOSPITALHARRIS REGIONAL HOSPITALPARK RIDGE HEALTHPARK RIDGE K RIDGE HEALTHSAMPSON REGIONAL MEDICAL CENTERSAMPSON REGIONAL MEDICAL CENTERSRMC Outpatient Rehab - Speech MPSON REGIONAL MEDICAL CENTERSRMC Outpatient Diagnostics Center-RadiologyClintonNC223DSH340024CSAMPSON REGIONAL MEDICAL CENTERSRMC Outpatient Diagnostics Center - Nuclear Medicine ClintonNC224DSH340024DSAMPSON REGIONAL MEDICAL CENTERSRMC Outpatient Diagnostics Center - UltrasoundClintonNC225DSH340024ESAMPSON REGIONAL MEDICAL CENTERSRMC Outpatient Diagnostics Center - 4GDSH340024HDSH340024JSAMPSON REGIONAL MEDICAL CENTERSAMPSON REGIONAL MEDICAL CENTERSAMPSON REGIONAL MEDICAL CENTERSAMPSON REGIONAL MEDICAL CENTERSRMC Outpatient Diagnostics Center - CT ScanningSRMC Outpatient Diagnostics Center - MRICardiopulmonary Rehabalitation InstituteSRMC Outpatient Rehab - Physical ON REGIONAL MEDICAL CENTERCAPE FEAR VALLEY MEDICAL CENTERCAPE FEAR VALLEY MEDICAL CENTERGASTON MEMORIAL HOSPITALSRMC Outpatient Rehab - Occupational TherapyCape Fear Valley Pediatric Care NorthCoumadin ClinicPAIN CNCRowNumSETON HEALTH OB/GYNNovant Health Kernersville Internal MedicineWESTERN CAROLINA PULMONARY AND SLEEPCONSULTANTSSYLVA MEDICAL CENTERCENTER FOR FAMILY MEDICINEMOUNTAIN CARE UROLOGYFamily Medicine at Biltmore ParkPark Ridge Medical AssociatesPark Ridge Plastic Surgery/Park Ridge Family MedicineThis list may not include all terminations due to individual extenuating circumstancesPlease review the entity record in the 340B program database for additional termination detailsPage 7 of 19

340B IDEntity NameEntity Sub-Division NameCityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities listed)234235DSH340041DSH340061HCALDWELL MEMORIAL HOSPITALUNC HospitalsPhysical TherapyLENOIRChapel RWAKEMEDWakeMed Garner Healthplex- Emergency DepartmentWakeMed Garner Healthplex-Imaging eMed Garner Healthplex-Imaging Services- MRIGarnerNC239DSH340069ATWAKEMEDWakeMed Garner Healthplex--Imaging ed Garner Healthplex--Imaging ServicesGarnerALBEMARLENCNCATHENSEAST LIVERPOOLClearfieldSt 51WAKEMEDSTANLY REGIONAL MEDICAL CENTERSHELTERING ARMS HOSPITAL FOUNDATION INC DBA O'BLENESS MEMORIALDSH360014HOSPITALDSH360096EAST LIVERPOOL CITY HOSPITALDSH390086BD DUBOIS REGIONAL MEDICAL CENTERDSH390086BV DUBOIS REGIONAL MEDICAL CENTERDSH390086BW DUBOIS REGIONAL MEDICAL CENTERDSH390086BX DUBOIS REGIONAL MEDICAL CENTERDSH390197DSACRED HEART HOSPITALDSH390197ESACRED HEART HOSPITALDSH420067BEAUFORT MEMORIAL HOSPITALDSH420078YGREENVILLE MEMORIAL 59DSH450015FMcLeod Loris Seacoast HospitalMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMETHODIST HEALTHCARE - MEMPHIS HOSPITALSMETHODIST HEALTHCARE - MEMPHIS HOSPITALSHARDIN COUNTY GENERAL HOSPITALDALLAS COUNTY HOSPITAL DISTRICT, PARKLAND HEALTH AND HOSPITALSYSTEM260DSH450018AAUNIVERSITY OF TEXAS MEDICAL BRANCH261DSH450018ABUNIVERSITY OF TEXAS MEDICAL BRANCHDRMC Neurology ClearfieldDRMC Specialty Services RheumatologyDRMC Specialty Services RheumatologyDRMC Specialty Services RheumatologySacred Heart Visiting NursesSacred Heart HospiceCCC-AndersonMcLeod Loris Seacoast Hospital - Loris Extended CareCenterMETHODIST NORTHMETHODIST SOUTHMETHODIST GERMANTOWNMETHODIST LE BONHEUROncologyHMC Urgent Care CenterCOPC DRUG REPACKAGING-FDA LIC.#1642776UTMB COMMUNITY HEALTH SERVICES CLINIC - LAKESREGIONAL, TERRELLUTMB COMMUNITY HEALTH SERVICES CLINIC â “ADAPT OF TEXAS KAUFMANThis list may not include all terminations due to individual extenuating circumstancesPlease review the entity record in the 340B program database for additional termination detailsPage 8 of 19

RowNum340B IDEntity Name262DSH450018ACUNIVERSITY OF TEXAS MEDICAL BRANCH263DSH450018ADUNIVERSITY OF TEXAS MEDICAL BRANCH264DSH450018AEUNIVERSITY OF TEXAS MEDICAL BRANCH265DSH450018AHUNIVERSITY OF TEXAS MEDICAL BRANCH266DSH450018MUNIVERSITY OF TEXAS MEDICAL BRANCH267DSH450018NUNIVERSITY OF TEXAS MEDICAL BRANCH268DSH450018PUNIVERSITY OF TEXAS MEDICAL BRANCH269DSH450018RUNIVERSITY OF TEXAS MEDICAL BRANCH270DSH450018SUNIVERSITY OF TEXAS MEDICAL BRANCH271DSH450018UUNIVERSITY OF TEXAS MEDICAL BRANCH272DSH450018VUNIVERSITY OF TEXAS MEDICAL BRANCH273DSH450018WUNIVERSITY OF TEXAS MEDICAL BRANCH274DSH450018XUNIVERSITY OF TEXAS MEDICAL BRANCH275DSH450018YUNIVERSITY OF TEXAS MEDICAL SH450213BDSH450213CDSH450213EDSH450237RUNIVERSITY OF TEXAS MEDICAL BRANCHSCOTT AND WHITE MEMORIAL HOSPITALSCOTT AND WHITE MEMORIAL HOSPITALBAYLOR ALL SAINTS MEDICAL CENTERUNIVERSITY HEALTH SYSTEMUNIVERSITY HEALTH SYSTEMUNIVERSITY HEALTH SYSTEMUNIVERSITY HEALTH SYSTEMUNIVERSITY HEALTH SYSTEMCHRISTUS SANTA ROSA HEALTH SYSTEMEntity Sub-Division NameUTMB COMMUNITY HEALTH SERVICES CLINIC â “DALLAS METRO CARE WESTMORELANDUTMB COMMUNITY HEALTH SERVICES CLINIC â “ADAPT OF TEXAS CORSICANAUTMB COMMUNITY HEALTH SERVICES CLINIC â “DALLAS METRO CARE LKUTMB COMMUNITY HEALTH SERVICES CLINIC - LAKESREGIONAL GREENVILLEUTMB COMMUNITY HEALTH SERVICES CLINIC - ADAPTOF TEXAS-WAXAHACHIEUTMB COMMUNITY HEALTH SERVICES CLINIC - CENTRODEMI SALUDUTMB COMMUNITY HEALTH SERVICES CLINIC - LIFEPATH SYSTEMS, PLANOUTMB COMMUNITY HEALTH SERVICES CLINIC â “LIFENETUTMB COMMUNITY HEALTH SERVICES CLINIC â “CHILD & FAMILY GUIDANCEUTMB COMMUNITY HEALTH SERVICES CLINIC â “ADAPT OF TEXAS MCKINNEYUTMB COMMUNITY HEALTH SERVICES CLINIC â “DALLAS METRO CARE ALTSHULERUTMB COMMUNITY HEALTH SERVICES CLINIC â “ADAPT OF TEXAS DALLASUTMB COMMUNITY HEALTH SERVICES CLINIC â “CHILD & FAMILY GUIDANCEUTMB COMMUNITY HEALTH SERVICES CLINIC â “DALLAS METRO CARE PATHWAYUTMB COMMUNITY HEALTH SERVICES CLINIC â “ LIFEPATH SYSTEMS MCKINNEYSCOTT AND WHITE CAMERONSCOTT AND WHITE WESTFIELDBaylor All Saints Burleson Pain ClinicUNIVERSITY HEALTH CENTER - DOWNTOWNWomen's Health Services - SEUNIVERSITY FAMILY HEALTH CENTER - SWUNIVERSITY FAMILY HEALTH CENTER - SEUNIVERSITY CENTER FOR COMMUNITY HEALTHAlamo Heights - Surgery-GeneralThis list may not include all terminations due to individual extenuating circumstancesPlease review the entity record in the 340B program database for additional termination detailsPage 9 of 19CityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities mpleBurlesonSAN ANTONIOSan AntonioSAN ANTONIOSAN ANTONIOSAN ANTONIOSan AntonioTXTXTXTXTXTXTXTXTXTX

340B IDEntity NameEntity Sub-Division NameCityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities 0237UDSH450289XDSH490024AZDSH490024BGAlamo Heights - Ambultry Surg 2Alamo Heights - Radiolo-DiagnosAlamo Heights - Emergency RoomDeepwater Health ClinicNEUROSCIENCESGENERAL SURGERY ROCKY MOUNTSan AntonioSan AntonioSan ANFP002279FP002289FP002293CHRISTUS SANTA ROSA HEALTH SYSTEMCHRISTUS SANTA ROSA HEALTH SYSTEMCHRISTUS SANTA ROSA HEALTH SYSTEMHarris County Hospital District dba Harris Health SystemCARILION MEDICAL CENTERCARILION MEDICAL CENTERCENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION DBA CENTRALWASHINGTON HOSPITALTACOMA GENERAL/ALLENMORE HOSPITALWHEATON FRANCISCAN, INC.WHEATON FRANCISCAN, INC.CALHOUN COUNTY HEALTH DEPARTMENTATKINSON COUNTY HEALTH DEPARTMENTWEBSTER COUNTY HEALTH DEPARTMENTWenatchee OrthopedicsPodiatry ClinicGLENDALE CAMPUSElmbrook Radiology 33024FP105322FP159051FP171029Concord Hospital Family Health Center-Hillsboro-DeeringCONCORD HOSPITAL FAMILY HEALTH CENTERPLANNED PARENTHOOD HUDSON PECONIC, INCWOMENS CENTER OF MEMORIAL MEDICAL CENTERPLANNED PARENTHOOD 3319FP173561FP174034FP176025PLANNED PARENTHOOD KeystonePLANNED PARENTHOOD KeystonePLANNED PARENTHOOD KeystonePLANNED PARENTHOOD KeystonePLANNED PARENTHOOD KeystonePLANNED PARENTHOOD KeystoneCHAMBERSBURGGETTYSBURGHANOVERRED FP300606FP300712FP300752FP30093FP301016FP301139SC DHEC Midlands Region Richland Co The Point at Eau Claire FPDPH HEALTH DISTRICT 3-1SOUTH DEKALB HEALTH CENTERGWINNETT COUNTY HEALTH DEPARTMENT, DISTRICT 3-4LAWRENCEVILLE HEALTH CENTEREAST COBB HEALTH CENTERBUFORD HEALTH CENTERNORTH FULTON REGIONAL HEALTH CENTERNORCROSS HEALTH CENTERACWORTH HEALTH CENTERHARALSON COUNTY HEALTH CHANANSCGAGAGAGAGAGAGAGAGAGARowNumConcord Hospital Family Health Center-HillsboroDeeringHAWTHORNE ADMINISTRATIVE OFFICEHARRISBURGCHAMBERSBURG CENTERADAMS COUNTY CENTERHANOVER CENTERRED LION CENTERYORKLANCASTERSC DHEC Midlands Richland Co The Point at Eau ClaireHealth Dept FPMARIETTA HEALTH CENTERThis list may not include all terminations due to individual extenuating circumstancesPlease review the entity record in the 340B program database for additional termination detailsPage 10 of 19

RowNum340B IDEntity NameEntity Sub-Division NameCityState340B Covered Entity Terminations ListEffective 10/01/2014 (626 total entities 143FP303314FP303375FP304017FP304113CHEROKEE COUNTY HEALTH DEPARTMENT, DISTRICT 1-2BARTOW COUNTY HEALTH DEPARTMENT, DISTRICT 1-1POLK COUNTY HEALTH DEPARTMENTPUTNAM COUNTY HEALTH DEPARTMENTFORSYTH COUNTY HEALTH DEPARTMENTPAULDING COUNTY HEALTH DEPARTMENT, DISTRICT 1-1DOUGLASVILLE HEALTH CENTER, DISTRICT 3-1PICKENS COUNTY HEALTH DEPARTMENTPOLK COUNTY HEALTH DEPARTMENTNORTHWEST GEORGIA HEALTH DISTRICT 1-1FLOYD COUNTY HEALTH DEPARTMENTCARROLL COUNTY HEALTH DEPARTMENTCHEROKEE COUNTY HEALTH DEPARTMENTLAMAR COUNTY HEALTH DEPARTMENTROCKDALE COUNTY HEALTH DEPARTMENTNEWTON COUNTY HEALTH DEPARTMENTFAYETTE COUNTY HEALTH DEPARTMENTHEARD COUNTY HEALTH DEPARTMENTM

ORLANDO HEALTH: Infectious Disease - Hosp Based: Orlando: FL: 96 DSH100007BM: Florida Hospital Florida Hospital Orlando Recovery, Obs & Photopheresis; Orlando: FL: 97 DSH100025AZ: SACRED HEART HEALTH SYSTEM; Tiger Point II: Gulf Breeze: FL: 98 DSH100025X; SACRED HEART HEALTH SYSTEM: SACRED HEART MEDICAL GROUP - RETZLOFF: PENSACOLA: FL: 99 .