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DSH180029H HAZARD ARH REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
HAZARD ARH REGIONAL MEDICAL CENTER
Subdivision Name
HAZARD FAMILY HEALTH CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180029H
Medicare Provider Number
180029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/4/2014
Last Recertification Date
11/22/2017
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
Appalachian Regional Healthcare
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450
Primary Contact
Appalachian Regional Healthcare
Jeffrey Akers, CEO of Pharmaceutical Services
(606) 616-2296
Addresses
Street Address
110 MEDICAL CENTER DRIVE
HAZARD, KY 41701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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