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DSH180012 Baptist Health Hardin (Active)
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Main Details
Name
Baptist Health Hardin
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180012
Medicare Provider Number
180012
Additional Details
Current Program Status
Active
Registration Date
5/30/2010
Participating Start Date
4/1/2017
Participating Approval Date
5/30/2010
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Baptist Health Hardin
Thomas Carrico, Chief Operating Officer
(270) 706-5321
Primary Contact
Baptist Health Hardin
Christopher Michael Diem, System 340B Director
(270) 979-3725
Addresses
Street Address
913 NORTH DIXIE AVENUE
ELIZABETHTOWN, KY 42701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Previously participated as a DSH from 7/1/2010-7/1/2011. Reinstated as a DSH 4/1/2017. 6/15/2010- SUBMITTED DOC. TO SUPPORT ELIG. DSH PERCENTAGE.
03/15/2017
6/15/2010- SUBMITTED DOC. TO SUPPORT ELIG. DSH PERCENTAGE.
07/01/2011
May 2025
May 2025
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