340B Drug Pricing Program Database

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DSH440176 INDIAN PATH COMMUNITY HOSPITAL (Active)

Main Details
INDIAN PATH COMMUNITY HOSPITAL
Disproportionate Share Hospital
No
DSH440176
440176


Additional Details
Active
8/30/2005
10/1/2015
8/31/2005
9/4/2024

Contacts

Ballad Health
Shane Hilton, EVP, Chief Financial Officer
(423) 302-3467

Ballad Health
Trish Tanner, VP, Chief Pharmacy Officer
(423) 302-3532

Addresses

2000 BROOKSIDE DRIVE
KINGSPORT, TN 37660-4627

Same as Street Address


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  • Medicaid Billing
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  • History
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9/4/15 Participated starting 1/1/2014, terminated 4/1/15 through 9/30/15 due to DSH percentage below statutory minimum, reinstated based on new registration submitted in July 2015; 12/12/13 enrolled 9/9/05 thur 6/30/13, not enrolled 7/1/13 thru 12/31/13 due to DSH % falling too low, re-instated based on on-line registration submitted in Oct. 2013; 4/17/09 ADDED NPI AND MEDICAID #09/04/2015
12/12/13 enrolled 9/9/05 thur 6/30/13, not enrolled 7/1/13 thru 12/31/13 due to DSH % falling too low, re-instated based on on-line registration submitted in Oct. 2013; 4/17/09 ADDED NPI AND MEDICAID #12/13/2013
4/17/09 ADDED NPI AND MEDICAID #04/17/2009
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