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RRC180035-44 ST ELIZABETH HEALTHCARE (Active)
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Main Details
Name
ST ELIZABETH HEALTHCARE
Subdivision Name
St. Elizabeth Edgewood Dearborn Cancer Care Clinic - Cancer Care Clinic
Type
Rural Referral Center
Rural
No
340B ID
RRC180035-44
Medicare Provider Number
180035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/27/2025
Last Recertification Date
Contacts
Authorizing Official
St. Elizabeth Healthcare
Lori Ritchey-Baldwin, CFO
(859) 655-1642
Primary Contact
St. Elizabeth Healthcare
Ron Hornberger, Director of Reimbursement
(859) 655-7831
Addresses
Street Address
17525 Greendale Plaza Dr.
Lawrenceburg, IN 47025
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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