340B Drug Pricing Program Database
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DSH180070 Owensboro Health Twin Lakes Regional Medical Center, Inc (Active)
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Main Details
Name
Owensboro Health Twin Lakes Regional Medical Center, Inc
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180070
Medicare Provider Number
180070
Additional Details
Current Program Status
Active
Registration Date
2/28/2006
Participating Start Date
4/1/2006
Participating Approval Date
3/1/2006
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Twin Lakes Regional Medical Center
Ashley Herrington, CEO
(270) 259-9510
Primary Contact
Twin Lakes Regional Medical Center
Angela Gibson, Director of Pharmacy
(270) 259-9520
Addresses
Street Address
910 WALLACE AVENUE
LEITCHFIELD, KY 42754
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/24/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %
10/22/2009
April 2025
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