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DSH180103A Baptist Health Lexington (Terminated)
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Main Details
Name
Baptist Health Lexington
Subdivision Name
BAPTIST HEALTH MEDICAL PLAZA RICHMOND
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180103A
Medicare Provider Number
180103
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
12/1/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/16/2010
Last Recertification Date
8/23/2016
Termination Date
Termination Reason
4/1/2017
Site closure
Contacts
Authorizing Official
Baptist Health Lexington
Bill Sisson, President
(859) 260-6104
Primary Contact
Baptist Health Lexington
Michael Anderson, Director of Pharmacy
(859) 260-6498
Addresses
Street Address
107 MERIDIAN WAY
SUITE 201
RICHMOND, KY 40475
Billing Address
Baptist Health Lexington
1740 Nicholasville Road
Lexington, KY 40503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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02/09/2012 removed medicaid # (was 01012566)
02/09/2012
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