340B Drug Pricing Program Database
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DSH180009F KING'S DAUGHTERS MEDICAL CENTER (Terminated)
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Main Details
Name
KING'S DAUGHTERS MEDICAL CENTER
Subdivision Name
PORTSMOUTH FAMILY CARE CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180009F
Medicare Provider Number
180009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
11/9/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/14/2011
Last Recertification Date
8/22/2024
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
King's Daughters Medical Center
Sara Marks, Interim CEO
(606) 408-4401
Primary Contact
King's Daughters Medical Center
Debbie Bell, 340B Coordinator
(606) 408-9503
Addresses
Street Address
2001 Scioto Trail
300
Portsmouth, OH 45662
Billing Address
Kings Daughters Medical Center
PO Box 151
Ashland, KY 41105-0151
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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