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DSH180143 SAINT JOSEPH EAST (Active)
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Main Details
Name
SAINT JOSEPH EAST
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180143
Medicare Provider Number
180143
Additional Details
Current Program Status
Active
Registration Date
12/3/2007
Participating Start Date
1/1/2008
Participating Approval Date
12/4/2007
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Saint Joseph East
Jennifer Camille Nolan, President
(859) 967-5618
Primary Contact
Saint Joseph East
Joseph Lee Osborne, Pharmacy Manager
(859) 967-5576
Addresses
Street Address
150 NORTH EAGLE CREEK DRIVE
LEXINGTON, KY 40509
Billing Address
Commonspirit Health
PO Box 636000
Littleton, CO 80163
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/12/12 remove medicaid number
03/12/2012
May 2025
May 2025
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