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DSH440050Q TAKOMA REGIONAL HOSPITAL (Terminated)
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Main Details
Name
TAKOMA REGIONAL HOSPITAL
Subdivision Name
Takoma Medical Associates - Physical Medicine and Rehab
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH440050Q
Medicare Provider Number
440050
Outpatient Facility Provider Number
440050
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/4/2014
Last Recertification Date
8/10/2016
Termination Date
Termination Reason
1/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Ballad Health
Shane Hilton, EVP, Chief Financial Officer
(423) 302-3467
Primary Contact
Wellmont Health System
ALLAN SHARP, PHARMACIST
(423) 578-8541
Addresses
Street Address
438 E. Vann Rd.
Suite 301
Greeneville, TN 37743
Billing Address
WELLMONT HEALTH SYSTEM
PO BOX 659
KINGSPORT, TN 37662
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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