Covered Entity Details

DSH180069 TUG VALLEY ARH REGIONAL MEDICAL CENTER (Active)

Main Details

Name

TUG VALLEY ARH REGIONAL MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH180069

Medicare Provider Number

180069

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

260 HOSPITAL DRIVE
SOUTH WILLIAMSON, KY 41503

Billing Address

Tug Valley ARH Regional Medical Center - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503

Comment	Last Updated On
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03/23/2012 added CE owned in-house pharmacy shipping address; 6/29/2011 - DOC. RECD. TO CONFIRM NON-PROFIT STATUS 3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE;2/19/09 - DOCUMENTS RECD TO CONFIRM ELIGIBLE DSH ADJ%; 1/28/09 UPDATED AUTHORIZING OFFICIAL AND CONTACT 12/27/11 remove Medicaid # JH	03/23/2012
6/29/2011 - DOC. RECD. TO CONFIRM NON-PROFIT STATUS 3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE;2/19/09 - DOCUMENTS RECD TO CONFIRM ELIGIBLE DSH ADJ%; 1/28/09 UPDATED AUTHORIZING OFFICIAL AND CONTACT 12/27/11 remove Medicaid # JH	12/27/2011
6/29/2011 - DOC. RECD. TO CONFIRM NON-PROFIT STATUS 3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE;2/19/09 - DOCUMENTS RECD TO CONFIRM ELIGIBLE DSH ADJ%; 1/28/09 UPDATED AUTHORIZING OFFICIAL AND CONTACT	07/06/2011
6/29/2011 - DOC. RECD. TO CONFIRM NON-PROFIT STATUS 3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE;2/19/09 - DOCUMENTS RECD TO CONFIRM ELIGIBLE DSH ADJ%; 1/28/09 UPDATED AUTHORIZING OFFICIAL AND CONTACT	07/06/2011

340B Drug Pricing Program Database