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DSH180079 HARRISON MEMORIAL HOSPITAL (Active)
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Main Details
Name
HARRISON MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180079
Medicare Provider Number
180079
Additional Details
Current Program Status
Active
Registration Date
8/29/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/31/2005
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Harrison Memorial Hospital
Kathy Tussey, Chief Executive Officer
(859) 234-2300 Ext: 3504
Primary Contact
Harrison Memorial Hospital
Brett Taylor Meade, Pharmacist
(859) 235-6210
Addresses
Street Address
1210 KY HIGHWAY 36 E
CYNTHIANA, KY 41031
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/28/07 - DOCUMENTATION SUBMITTED TO SUPPORT AN ELIGIBLE DSH ADJUSTMENT PERCENTAGE
02/28/2007
June 2025
June 2025
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