340B Drug Pricing Program Database
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DSH180093A Baptist Health Deaconess Madisonville (Active)
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Main Details
Name
Baptist Health Deaconess Madisonville
Subdivision Name
MAHR CANCER CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180093A
Medicare Provider Number
180093
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/6/2007
Participating Start Date
1/1/2005
Participating Approval Date
9/6/2007
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
Baptist Health Deaconess Madisonville
Valarie Lynn Howard, CFO
(270) 326-6133
Primary Contact
Baptist Health Deaconess Madisonville
Margo Nicks Ashby, Director Pharmacy
(270) 825-5248
Addresses
Street Address
900 HOSPITAL DRIVE
MADISONVILLE, KY 42431
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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