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DSH180064 SAINT JOSEPH HEALTH SYSTEM, INC. DBA SAINT JOSEPH MOUNT STERLING (Active)
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Main Details
Name
SAINT JOSEPH HEALTH SYSTEM, INC. DBA SAINT JOSEPH MOUNT STERLING
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180064
Medicare Provider Number
180064
Additional Details
Current Program Status
Active
Registration Date
12/1/2005
Participating Start Date
12/1/2005
Participating Approval Date
12/1/2005
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Saint Joseph Berea
John C Yanes, President
(606) 330-6011
Primary Contact
SAINT JOSEPH HEALTH SYSTEM, INC. DBA SAINT JOSEPH MOUNT STERLING
CHARLES RUDD, DIRECTOR OF PHARMACY
(859) 497-5405
Addresses
Street Address
225 Falcon Drive
MT. STERLING, KY 40353
Billing Address
CommonSpirit Health Accounts Payable ATTN: MBO1410
P.O. Box 2400
Phoenix, AZ 85002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/23/12 update address from 50 STERLING AVE. PO BOX 7 MT. STERLING, KY 40353 2/16/12 remove medicaid number 12/4/07 UPDATED ENTITY NAME (WAS MARY CHILES HOSPITAL)
02/23/2012
2/16/12 remove medicaid number 12/4/07 UPDATED ENTITY NAME (WAS MARY CHILES HOSPITAL)
02/16/2012
12/4/07 UPDATED ENTITY NAME (WAS MARY CHILES HOSPITAL)
01/21/2010
April 2025
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