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CAH181305-02 ARH OUR LADY OF THE WAY (Terminated)
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Main Details
Name
ARH OUR LADY OF THE WAY
Subdivision Name
ARH PRIMARY CARE ASSOCIATES NK Betsy Layne
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181305-02
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
9/4/2019
Termination Date
Termination Reason
4/1/2020
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
9350 US HIGHWAY 23 S
STE 3
STANVILLE, KY 41659
Billing Address
ARH Our Lady of the Way Hospital - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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