340B Drug Pricing Program Database
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DSH180005E HIGHLANDS REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
HIGHLANDS REGIONAL MEDICAL CENTER
Subdivision Name
SALYERSVILLE AFTER HOURS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180005E
Medicare Provider Number
180005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2013
Participating Start Date
1/1/2014
Participating Approval Date
12/9/2013
Last Recertification Date
9/10/2018
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Appalachian Regional Healthcare
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450
Primary Contact
Appalachian Regional Healthcare
Jeffrey Akers, CEO of Pharmaceutical Services
(606) 616-2296
Addresses
Street Address
100 Brianna Blvd.
Suite 100
Salyersville, KY 41465
Billing Address
Highlands Regional Medical Center
5000 KY Rt. 321
Prestonsburg, KY 41653
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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