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DSH180005B HIGHLANDS REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
HIGHLANDS REGIONAL MEDICAL CENTER
Subdivision Name
Highlands Orthopaedic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180005B
Medicare Provider Number
180005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/26/2012
Last Recertification Date
11/9/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Appalachian Regional Healthcare
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450
Primary Contact
Highlands Regional Medical Center
Vylinda Howard, Director of Pharmacy Services
(606) 886-7617
Addresses
Street Address
5000 Ky Route 321
Suite 2129
Prestonsburg, KY 41653
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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