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DSH180051B JENNIE STUART MEDICAL CENTER (Active)
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Main Details
Name
JENNIE STUART MEDICAL CENTER
Subdivision Name
Jennie Stuart Ambulatory Surgery Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180051B
Medicare Provider Number
180051
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/4/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/10/2013
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Jennie Stuart Medical Center
Beth McCraw, VP Nursing Services
(270) 887-0100 Ext: 1463
Primary Contact
Jennie Stuart Medical Center
Angela N Bradt, PharmD
(270) 887-0166
Addresses
Street Address
8250 Eagle Way
Hopkinsville, KY 42240
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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