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DSH180050 HARLAN ARH HOSPITAL (Active)
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Main Details
Name
HARLAN ARH HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180050
Medicare Provider Number
180050
Additional Details
Current Program Status
Active
Registration Date
10/18/2007
Participating Start Date
4/1/2005
Participating Approval Date
10/18/2007
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
ARH
Maria Braman, Chief Medical Officer
(406) 465-8506
Primary Contact
Appalachian Regional Healthcare, Inc
Michael Herald, Associate Vice President of Pharmaceutical Services
(606) 438-1210
Addresses
Street Address
81 BALL PARK ROAD
HARLAN, KY 40831
Billing Address
Harlan ARH Hospital - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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03/23/2012 added covered entity owned in-house pharmacy shipping address; 12/27/11 remove Medicaid # JH
03/23/2012
12/27/11 remove Medicaid # JH
12/27/2011
April 2025
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