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DSH440104B Erlanger Health (Terminated)
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Main Details
Name
Erlanger Health
Subdivision Name
Erlanger North Sleep Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH440104B
Medicare Provider Number
440104
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
11/27/2006
Participating Start Date
1/1/2007
Participating Approval Date
11/28/2006
Last Recertification Date
9/9/2023
Termination Date
Termination Reason
10/1/2024
Other
Contacts
Authorizing Official
Erlanger Health
Misty Brackett, VP Revenue Cycle
(423) 778-9775
Primary Contact
Erlanger Health System
Ngoc T. Le, 340B Program Coordinator
(423) 778-8194
Addresses
Street Address
632 Morrison Springs Road
Suite 300
Chattanooga, TN 37415
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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