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CAH181305-01 ARH OUR LADY OF THE WAY (Terminated)
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Main Details
Name
ARH OUR LADY OF THE WAY
Subdivision Name
WHEELWRIGHT FAMILY HEALTH CENTER
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181305-01
Medicare Provider Number
181305
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
9/9/2010
Participating Start Date
9/24/2010
Participating Approval Date
9/24/2010
Last Recertification Date
11/28/2017
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
Appalachian Regional Healthcare
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450
Primary Contact
Appalachian Regional Healthcare
Jeffrey Akers, CEO of Pharmaceutical Services
(606) 616-2296
Addresses
Street Address
1403 KY ROUTE 306
STE 102
WHEELWRIGHT, KY 41669
Billing Address
SAINT JOSEPH - MARTIN
PO BOX 910
MARTIN, KY 41649
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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