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DSH180051 JENNIE STUART MEDICAL CENTER (Active)
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Main Details
Name
JENNIE STUART MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180051
Medicare Provider Number
180051
Additional Details
Current Program Status
Active
Registration Date
9/2/2008
Participating Start Date
9/2/2008
Participating Approval Date
9/2/2008
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Jennie Stuart Medical Center
Beth McCraw, VP Nursing Services
(270) 887-0100 Ext: 1463
Primary Contact
Jennie Stuart Medical Center
Angela N Bradt, PharmD
(270) 887-0166
Addresses
Street Address
320 WEST 18TH STREET
HOPKINSVILLE, KY 42240
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/10/2009-UPDATED THE CONTACT PERSON INFO.; 11/24/08 ADDED MEDICAID#, BEGAN BILLING MEDICAID 10/1/2008
06/10/2009
April 2025
April 2025
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