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DSH180009R KING'S DAUGHTERS MEDICAL CENTER (Active)
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Main Details
Name
KING'S DAUGHTERS MEDICAL CENTER
Subdivision Name
Portsmouth Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180009R
Medicare Provider Number
180009
Outpatient Facility Provider Number
180009
Additional Details
Current Program Status
Active
Registration Date
1/14/2014
Participating Start Date
4/1/2014
Participating Approval Date
3/11/2014
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
King's Daughters Medical Center
Sara Marks, Interim CEO
(606) 408-4401
Primary Contact
King's Daughters Medical Center
Debbie Bell, 340B Coordinator
(606) 408-9503
Addresses
Street Address
916 11th Street
Portsmouth, OH 45662
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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