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DSH180149 TJ HEALTH COLUMBIA (Active)
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Main Details
Name
TJ HEALTH COLUMBIA
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180149
Medicare Provider Number
180149
Additional Details
Current Program Status
Active
Registration Date
1/7/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/24/2019
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
TJ Regional Health
Neil Thornbury, CEO
(270) 651-4159
Primary Contact
TJ Regional Health
John Thomas Rogers, Compliance Officer
(270) 651-4513
Addresses
Street Address
901 Wellness Way
COLUMBIA, KY 42728
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Initial start date 10/1/2006, Termination 4/1/2017, Reinstatement 4/1/2019
01/17/2019
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