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CAH441306-00 Erlanger Health dba Erlanger Bledsoe Hospital (Active)
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Main Details
Name
Erlanger Health dba Erlanger Bledsoe Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH441306-00
Medicare Provider Number
441306
Additional Details
Current Program Status
Active
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/13/2014
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Erlanger Health
Misty Brackett, VP Revenue Cycle
(423) 778-9775
Primary Contact
Erlanger Health System
Ngoc T. Le, 340B Program Coordinator
(423) 778-8194
Addresses
Street Address
71 Wheelertown Avenue
Pikeville, TN 37367
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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