Velarion Records

Public registries, as they were filed.

Disproportionate share hospital · IN

FAYETTE MEMORIAL HOSPITAL ASSOCIATION

Taking partNoTermination date filed1 October 2019Last certified4 September 2018

  • 10Registered locations
  • 1Associated locations
  • 21Contract pharmacies
  • 0With no end date
  • 1 April 2010In 340B since

Finances, as filed

No Medicare cost report is recorded for this hospital.

Changes recorded

Nothing on this record has moved since it was first read here on 6 September 2026.

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Cite this page

Velarion Records, “FAYETTE MEMORIAL HOSPITAL ASSOCIATION”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 2026-09-07. https://velarionrecords.com/340b/DSH150064. Accessed 8 September 2026.

Register detail and identifiers

Participation, as filed

Participating
FALSE
Participation start date
1 April 2010
Termination date
1 October 2019
Termination reason
Failure to recertify
Certification date
4 September 2018
Record last edited
1 October 2019

Identifiers

340B ID
DSH150064
Entity type as filed
DSH
CMS certification number
150064
Rural
Yes

1941 VIRGINIA AVENUE, CONNERSVILLE IN 47331

Locations registered under this record

Browse all of them as a list →

DSH150064AFayette Regional Primary CareDSHConnersville, INNo
DSH150064BHealthy WomenDSHConnersville, INNo
DSH150064CFayette Regional Internal MedicineDSHConnersville, INNo
DSH150064DFayette Regional Pediatric Health GroupDSHConnersville, INNo
DSH150064EFayette Regional Pain ClinicDSHConnersville, INNo
DSH150064FBrookville Immediate CareDSHBrookville, INNo
DSH150064GBrookville Specialty ClinicDSHBrookville, INNo
DSH150064HFayette Regional Internal Medicine - KapoorDSHConnersville, INNo
DSH150064JFayette Regional Care PavilionDSHCONNERSVILLE, INNo
DSH150064KHealthplex Family PracticeDSHBrookville, INNo

Associated locations

FAYETTE MEMORIAL HOSPITAL ASSOCIATION1941 VIRGINIA AVENUECONNERSVILLE IN 47331

Pharmacy contracts

No end date filed0

No arrangement with no end date filed matches that.

An end date is filed21

An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.

CYSTIC FIBROSIS SERVICESFRISCO, TX1 January 20179 August 2017
CYSTIC FIBROSIS SERVICES, LLCFRISCO, TX1 July 20171 October 2019
HOOK-SUPERX, L.L.C.BROOKVILLE, IN1 January 20151 October 2019
HOOK-SUPERX, L.L.C.CONNERSVILLE, IN1 January 20151 October 2019
KROGER PHARMACY #014827CONNERSVILLE, IN25 October 20121 October 2019
ONCOMED THE ONCOLOGY PHARMACY OF BUFFALOAMHERST, NY1 January 20171 October 2019
PRIME THERAPEUTICS SPECIALTY PHARMACY LLORLANDO, FL1 October 20171 October 2019
SINA DRUG LLCNEW HYDE PARK, NY1 January 20171 October 2019
SINA DRUG LLCLOUISVILLE, KY1 January 20171 October 2019
WAL-MART CENTRAL FILL 10-2670SPRING, TX1 January 20161 October 2019
WAL-MART PHARMACY 10-1729CONNERSVILLE, IN26 October 20121 October 2019
WAL-MART PHARMACY 10-5997ORLANDO, FL1 January 20161 October 2019
WALGREEN CO.HARRISON, OH1 January 20171 October 2019
WALGREEN CO.INDIANAPOLIS, IN1 January 20171 October 2019
WALGREEN CO.NEW CASTLE, IN1 April 20171 October 2019
WALGREEN CO.RICHMOND, IN1 April 20171 October 2019
WALGREEN CO.OXFORD, OH1 April 20171 October 2019
WALGREENS SPECIALTY PHARMACY, LLCFRISCO, TX1 January 20171 October 2019
WALGREENS SPECIALTY PHARMACY, LLCCANTON, MI1 January 20171 October 2019
WALGREENS SPECIALTY PHARMACY, LLCBEAVERTON, OR1 January 20171 October 2019
WALGREENS SPECIALTY PHARMACY, LLCPITTSBURGH, PA1 January 20171 October 2019

Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.