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DSH180029 HAZARD ARH REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
HAZARD ARH REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180029
Medicare Provider Number
180029
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
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
100 MEDICAL CENTER DRIVE
HAZARD, KY 41701
Billing Address
Hazard ARH Regional Medical Center - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/10/09 ADDED SHIPPING ADDRESS; 5/23/05 EDIT MED# (WAS 54022033); 1/28/09 UPDATED AUTHORIZING OFFICIAL AND CONTACT 12/27/11 remove Medicaid # JH
12/27/2011
6/10/09 ADDED SHIPPING ADDRESS; 5/23/05 EDIT MED# (WAS 54022033); 1/28/09 UPDATED AUTHORIZING OFFICIAL AND CONTACT
06/10/2009
May 2025
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