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RRC180049-00 Baptist Health Richmond (Terminated)
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Main Details
Name
Baptist Health Richmond
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC180049-00
Medicare Provider Number
180049
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/15/2013
Last Recertification Date
8/10/2016
Termination Date
Termination Reason
10/1/2016
Change of covered entity type
Contacts
Authorizing Official
Baptist Health Richmond
Todd C. Jones, President
(859) 625-3112
Primary Contact
Baptist Health Richmond
Kim Richards, Director of Pharmacy
(859) 625-3478
Addresses
Street Address
801 Eastern Bypass
Richmond, KY 40475
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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