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DSH180011E SAINT JOSEPH HEALTH SYSTEM (Active)
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Main Details
Name
SAINT JOSEPH HEALTH SYSTEM
Subdivision Name
Saint Joseph Heart Testing Center (D)
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180011E
Medicare Provider Number
180011
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/3/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/17/2013
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Saint Joseph London
John C Yanes, President - Saint Joseph London
(606) 330-6011
Primary Contact
Saint Joseph London
Paul Cheek, Director of Pharmacy
(606) 330-6488
Addresses
Street Address
1500 Cumberland Falls Hwy
Corbin, KY 40701
Billing Address
Saint Joseph London
PO Box 2400
Phoenix, AZ 85002
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/3/2014 - Termination recorded in error; site remained continuously eligible from participation start date.
04/03/2014
April 2025
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