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DSH180011B SAINT JOSEPH HEALTH SYSTEM (Active)
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Main Details
Name
SAINT JOSEPH HEALTH SYSTEM
Subdivision Name
Saint Joseph Hematology Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180011B
Medicare Provider Number
180011
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/30/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/14/2011
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Saint Joseph London
John C Yanes, President - Saint Joseph London
(606) 330-6011
Primary Contact
Saint Joseph London
Paul Cheek, Director of Pharmacy
(606) 330-6488
Addresses
Street Address
165 London Mountain View Drive
London, KY 40741
Billing Address
Saint Joseph London
PO Box 2400
Phoenix, AZ 85002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/3/2014 - Termination recorded in error; site remained continuously eligible from participation start date.
04/03/2014
April 2025
April 2025
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