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DSH180143A SAINT JOSEPH EAST (Active)
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Main Details
Name
SAINT JOSEPH EAST
Subdivision Name
Saint Joseph East Hemoc
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180143A
Medicare Provider Number
180143
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2013
Participating Start Date
4/1/2013
Participating Approval Date
1/22/2013
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Saint Joseph East
Jennifer Camille Nolan, President
(859) 967-5618
Primary Contact
Saint Joseph East
Joseph Lee Osborne, Pharmacy Manager
(859) 967-5576
Addresses
Street Address
3470 Blazer Parkway
Lexington, KY 40509
Billing Address
Commonspirit Health
PO Box 636000
Littleton, CO 80163
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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