340B Drug Pricing Program Database
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DSH180069B TUG VALLEY ARH REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
TUG VALLEY ARH REGIONAL MEDICAL CENTER
Subdivision Name
ARH SPECIALTY ASSOCIATES TUG VALLEY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180069B
Medicare Provider Number
180069
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/9/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/10/2015
Last Recertification Date
9/4/2018
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
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
306 HOSPITAL DRIVE
Suite 200
SOUTH WILLIAMSON, KY 41503
Billing Address
Tug Valley 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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