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DSH340023 ADVENTHEALTH HENDERSONVILLE (Active)
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Main Details
Name
ADVENTHEALTH HENDERSONVILLE
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340023
Medicare Provider Number
340023
Additional Details
Current Program Status
Active
Registration Date
1/6/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/6/2025
Last Recertification Date
Contacts
Authorizing Official
AdventHealth Hendersonville
Steven Burroughs, VP of Finance / CFO
(828) 681-2102
Primary Contact
Adventhealth
Rafael Kirkpatrick, SE Region 340B Coordinator
(956) 466-8487
Addresses
Street Address
100 HOSPITAL DRIVE
HENDERSONVILLE, NC 28792
Billing Address
AdventHealth Hendersonville
c/o AdventHealth
902 Inspiration Ave.
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2005, terminated 7/1/2024. Reinstated 4/1/2025.
01/27/2025
03/01/2012 updated Bill to (was PO Box 1569 Fletcher 28732); 6/24/10 UPDATED ENTITY NAME (WAS PARK RIDGE HOSPITAL); OLD ADDRESS - NAPLES RD, FLETCHER, NC 28732; 8/11/2008 DOCUMENTATION SUBMITTED TO CONFIRM ELIGIBLE DSH ADJUSTMENT PERCENTAGE
03/01/2012
6/24/10 UPDATED ENTITY NAME (WAS PARK RIDGE HOSPITAL); OLD ADDRESS - NAPLES RD, FLETCHER, NC 28732; 8/11/2008 DOCUMENTATION SUBMITTED TO CONFIRM ELIGIBLE DSH ADJUSTMENT PERCENTAGE
08/13/2008
6/24/10 UPDATED ENTITY NAME (WAS PARK RIDGE HOSPITAL); OLD ADDRESS - NAPLES RD, FLETCHER, NC 28732; 8/11/2008 DOCUMENTATION SUBMITTED TO CONFIRM ELIGIBLE DSH ADJUSTMENT PERCENTAGE
08/13/2008
May 2025
May 2025
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