340B Drug Pricing Program Database
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DSH440104 Erlanger Health (Active)
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Main Details
Name
Erlanger Health
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH440104
Medicare Provider Number
440104
Additional Details
Current Program Status
Active
Registration Date
11/28/2006
Participating Start Date
12/1/1992
Participating Approval Date
11/28/2006
Last Recertification Date
9/11/2024
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
975 East Third Street
CHATTANOOGA, TN 37403
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/14/09 REMOVED MEDICAID PROVIDER# (WAS 9440147)
09/14/2009
May 2025
May 2025
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