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DSH460015 LOGAN REGIONAL HOSPITAL (Terminated)
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Main Details
Name
LOGAN REGIONAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH460015
Medicare Provider Number
460015
Additional Details
Current Program Status
Terminated
Registration Date
8/26/2008
Participating Start Date
7/1/2011
Participating Approval Date
6/27/2011
Last Recertification Date
8/22/2018
Termination Date
Termination Reason
7/1/2019
DSH percentage below statutory minimum
Contacts
Authorizing Official
Intermountain Healthcare
Justin Wiser, Finance Director
(435) 716-5331
Primary Contact
Intermountain Healthcare
Kevin Jones, 340B Program Director
(801) 284-1023
Addresses
Street Address
1400 NORTH 500 EAST
LOGAN, UT 84341
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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06/27/11 PARTICIPATING FROM 9/1/08 TO 4/01/10,NOT PARTICIPATING FROM 04/1/10 TO 6/30/11; 06/27/11 DOC RECD TO CONFIRM ELIG DSH ADJ %
06/27/2011
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