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DSH440184 Franklin Woods Community Hospital (Active)
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Main Details
Name
Franklin Woods Community Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH440184
Medicare Provider Number
440184
Additional Details
Current Program Status
Active
Registration Date
7/13/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/17/2018
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Ballad Health
Shane Hilton, EVP, Chief Financial Officer
(423) 302-3467
Primary Contact
Ballad Health
Trish Tanner, VP, Chief Pharmacy Officer
(423) 302-3532
Addresses
Street Address
300 MedTech Parkway
JOHNSON CITY, TN 37604
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating 10/1/2012 until terminated effective 1/1/2018, reinstated effective 10/1/2018.
07/16/2018
9/28/12 participating 7/1/05 thru 6/30/09, not participating 7/1/09 thru 9/30/12, while not participating the name and address of the hospital changed; 4/17/09 ADDED NPI AND MEDICAID#
09/28/2012
4/17/09 ADDED NPI AND MEDICAID#
06/30/2009
April 2025
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