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DSH180103B Baptist Health Lexington (Active)
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Main Details
Name
Baptist Health Lexington
Subdivision Name
Baptist Health Medical Plaza at Brannon Crossing - Building 2
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180103B
Medicare Provider Number
180103
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/24/2011
Participating Start Date
4/1/2012
Participating Approval Date
3/1/2012
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Baptist Health Lexington
Christopher M. Roty, President
(859) 260-6104
Primary Contact
Baptist Health Lexington
Brian Host, Director of Pharmacy
(859) 260-5177
Addresses
Street Address
610 E. Brannon Rd.
Building 2, Suite 203
Nicholasville, KY 40356
Billing Address
Baptist Health Lexington
1740 Nicholasville Road
Lexington, KY 40503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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