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DSH340023C PARK RIDGE HEALTH (Terminated)
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Main Details
Name
PARK RIDGE HEALTH
Subdivision Name
SOUTHEASTERN SPORTS MEDICINE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340023C
Medicare Provider Number
340023
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
12/5/2007
Participating Start Date
1/1/2008
Participating Approval Date
12/6/2007
Last Recertification Date
8/11/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Park Ridge Health
Ella Stenstrom, CFO
(828) 681-2102
Primary Contact
Southeast Region
Diane Molnar, 340B Regional Manager
(828) 681-2168
Addresses
Street Address
21 TURTLE CREEK DRIVE
ASHEVILLE, NC 28803
Billing Address
Park Ridge Health
50 Hospital Drive
Suite G-A
Hendersonville, NC 28792
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
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03/01/2012 added Bill to; 6/24/10 UPDATED ENTITY NAME (WAS PARK RIDGE HOSPITAL); 8/11/08- DOC SUBMITTED TO CONFIRM ELIGIBLE DSH ADJ %
03/01/2012
6/24/10 UPDATED ENTITY NAME (WAS PARK RIDGE HOSPITAL); 8/11/08- DOC SUBMITTED TO CONFIRM ELIGIBLE DSH ADJ %
11/16/2011
6/24/10 UPDATED ENTITY NAME (WAS PARK RIDGE HOSPITAL); 8/11/08- DOC SUBMITTED TO CONFIRM ELIGIBLE DSH ADJ %
08/13/2008
6/24/10 UPDATED ENTITY NAME (WAS PARK RIDGE HOSPITAL); 8/11/08- DOC SUBMITTED TO CONFIRM ELIGIBLE DSH ADJ %
08/13/2008
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