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DSH180011 SAINT JOSEPH HEALTH SYSTEM (Active)
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Main Details
Name
SAINT JOSEPH HEALTH SYSTEM
Subdivision Name
DBA SAINT JOSEPH - LONDON
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180011
Medicare Provider Number
180011
Additional Details
Current Program Status
Active
Registration Date
2/10/2006
Participating Start Date
4/1/2006
Participating Approval Date
2/16/2006
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Saint Joseph London
John C Yanes, President - Saint Joseph London
(606) 330-6011
Primary Contact
Saint Joseph London
Paul Cheek, Director of Pharmacy
(606) 330-6488
Addresses
Street Address
1001 SAINT JOSEPH LANE
LONDON, KY 40741
Billing Address
Saint Joseph London
PO Box 2400
Phoenix, AZ 85002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/3/2014 - Termination recorded in error; site remained continuously eligible from participation start date. 7/11/2011 UPDATED PHYS ADD (WAS 310 EAST 9TH STREET); 12/23/08 UPDATED ENTITY NAME (WAS MARYMOUNT MEDICAL CENTER)
04/03/2014
7/11/2011 UPDATED PHYS ADD (WAS 310 EAST 9TH STREET); 12/23/08 UPDATED ENTITY NAME (WAS MARYMOUNT MEDICAL CENTER)
02/10/2006
May 2025
May 2025
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