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DSH180029D HAZARD ARH REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
HAZARD ARH REGIONAL MEDICAL CENTER
Subdivision Name
ARH Medical Mall Family Specialty Clinic - Physical Medicine and Rehabilitation
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180029D
Medicare Provider Number
180029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/4/2014
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
ARH
Maria Braman, Chief Medical Officer
(406) 465-8506
Primary Contact
Appalachian Regional Healthcare, Inc
Michael Herald, Associate Vice President of Pharmaceutical Services
(606) 438-1210
Addresses
Street Address
210 BLACK GOLD BLVD
HAZARD, KY 41701
Billing Address
Hazard ARH Regional Medical Center - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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