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DSH180080 BAPTIST HEALTH CORBIN (Active)
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Main Details
Name
BAPTIST HEALTH CORBIN
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180080
Medicare Provider Number
180080
Additional Details
Current Program Status
Active
Registration Date
4/30/2008
Participating Start Date
10/1/2004
Participating Approval Date
4/30/2008
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Baptist Health Corbin
Angelia L Foster, President
(606) 523-8626
Primary Contact
Baptist Health Corbin
Cliff Niemeier, Director of Pharmacy
(606) 523-8545
Addresses
Street Address
1 TRILLIUM WAY
CORBIN, KY 40701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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CE cancelled RRC conversion, will remain a DSH; 2/16/12 remove medicaid number
06/05/2013
2/16/12 remove medicaid number
02/16/2012
April 2025
April 2025
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