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DSH180056 Deaconess Henderson Hospital (Active)
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Main Details
Name
Deaconess Henderson Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180056
Medicare Provider Number
180056
Additional Details
Current Program Status
Active
Registration Date
10/20/2008
Participating Start Date
1/1/2009
Participating Approval Date
10/21/2008
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Deaconess Henderson Hospital
Linda E White, Chief Administrative Officer
(270) 827-7501
Primary Contact
Deaconess Hospital
Sarah Laramie, 340B Coordinator
(270) 631-2476
Addresses
Street Address
1305 NORTH ELM STREET
HENDERSON, KY 42420
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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