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DSH180138 Baptist Health Lagrange (Active)
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Main Details
Name
Baptist Health Lagrange
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180138
Medicare Provider Number
180138
Additional Details
Current Program Status
Active
Registration Date
4/9/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/11/2013
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Baptist Health La Grange
Clint Kaho, President
(502) 222-3329
Primary Contact
Baptist Health LaGrange
Angela Sandlin, Director of Pharmacy
(502) 222-3352
Addresses
Street Address
1025 New Moody Lane
La Grange, KY 40031
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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