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CAH181324-01 THE MEDICAL CENTER AT SCOTTSVILLE (Active)
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Main Details
Name
THE MEDICAL CENTER AT SCOTTSVILLE
Subdivision Name
Scottsville Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181324-01
Medicare Provider Number
181324
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/8/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/25/2013
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Med Center Health
Wade R. Stone, Executive Vice President
(270) 745-1504
Primary Contact
Commonwealth Health Corporation
Caleb Benningfield, Pharmacist
(270) 745-1640
Addresses
Street Address
466 Burnley Rd
Scottsville, KY 42164
Billing Address
Commonwealth Health Corporation
PO Box 3560
Bowling Green, KY 42102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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