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DSH340023AT PARK RIDGE HEALTH (Terminated)
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Main Details
Name
PARK RIDGE HEALTH
Subdivision Name
Asheville Sleep Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340023AT
Medicare Provider Number
340023
Outpatient Facility Provider Number
340023
Additional Details
Current Program Status
Terminated
Registration Date
7/10/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
8/11/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Park Ridge Health
Ella Stenstrom, CFO
(828) 681-2102
Primary Contact
Southeast Region
Diane Molnar, 340B Regional Manager
(828) 681-2168
Addresses
Street Address
333 Gashes Creek Rd.
Suite 112
Asheville, NC 28803
Billing Address
Park Ridge Health
50 Hospital Dr.
Suite G-A
Hendersonville, NC 28792
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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