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RRC180104-00 BAPTIST HEALTH PADUCAH (Active)
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Main Details
Name
BAPTIST HEALTH PADUCAH
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC180104-00
Medicare Provider Number
180104
Additional Details
Current Program Status
Active
Registration Date
10/10/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/23/2024
Last Recertification Date
Contacts
Authorizing Official
Baptist Health Paducah
Kenneth Boyd, President
(270) 575-2101
Primary Contact
Baptist Health Paducah
Laura Madison, Director of Pharmacy
(270) 575-2105
Addresses
Street Address
2501 KENTUCKY AVENUE
PADUCAH, KY 42003
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2014, terminated 4/1/2016. Reinstated 1/1/2025.
10/23/2024
6/14/2014 - 340B ID updated with correct Medicare provider number.
06/14/2014
April 2025
April 2025
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