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DSH440050F Greeneville Community Hospital (Terminated)
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Main Details
Name
Greeneville Community Hospital
Subdivision Name
BHMA Gastroenterology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH440050F
Medicare Provider Number
440050
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/29/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/19/2012
Last Recertification Date
8/30/2023
Termination Date
Termination Reason
1/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
Ballad Health
Shane Hilton, EVP, Chief Financial Officer
(423) 302-3467
Primary Contact
Ballad Health
Trish Tanner, VP, Chief Pharmacy Officer
(423) 302-3532
Addresses
Street Address
1406 Tusculum Blvd
Ste 1200
Greeneville, TN 37745-4341
Billing Address
Ballad Health
400 North State of Franklin Rd.
Johnson City, TN 37604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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