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DSH340023AZ AdventHealth Hendersonville (Terminated)
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Main Details
Name
AdventHealth Hendersonville
Subdivision Name
AdventHealth Medical Group Multispecialty at Parkway
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340023AZ
Medicare Provider Number
340023
Outpatient Facility Provider Number
340023
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
8/30/2023
Termination Date
Termination Reason
7/1/2024
Change of covered entity type
Contacts
Authorizing Official
AdventHealth Hendersonville
Steven Burroughs, VP of Finance / CFO
(828) 681-2102
Primary Contact
Adventhealth Hendersonville
Larry D Phillips, Director Supply Chain and 340B Pharmacy
(828) 681-2720
Addresses
Street Address
333 GASHES CREEK ROAD
SUITE 111
ASHEVILLE, NC 28803-9405
Billing Address
AdventHealth Hendersonville
c/o AdventHealth
902 Inspiration Ave.
Suite 9100
Altamonte Springs, FL 32714
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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