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SCH180038-00 OWENSBORO HEALTH INC (Terminated)
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Main Details
Name
OWENSBORO HEALTH INC
Subdivision Name
OWENSBORO HEALTH REGIONAL HOSPITAL
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH180038-00
Medicare Provider Number
180038
Additional Details
Current Program Status
Terminated
Registration Date
8/4/2010
Participating Start Date
8/5/2010
Participating Approval Date
8/4/2010
Last Recertification Date
9/14/2022
Termination Date
Termination Reason
10/1/2023
Change of covered entity type
Contacts
Authorizing Official
Owensboro Health Regional Hospital - Owensboro, KY
Russ Ranallo, Chief Financial Officer
(270) 685-7180
Primary Contact
Owensboro Health Regional Hospital
Jason Collins, Director of Pharmacy
(270) 417-6711
Addresses
Street Address
1201 Pleasant Valley Road
OWENSBORO, KY 42303
Billing Address
Owensboro Health Regional Hospital
P.O. BOX 20007
OWENSBORO, KY 42304
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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