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DSH440050V Greeneville Community Hospital (Terminated)
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Main Details
Name
Greeneville Community Hospital
Subdivision Name
BHMA OBGN and Womens Health
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH440050V
Medicare Provider Number
440050
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/4/2015
Last Recertification Date
8/31/2023
Termination Date
Termination Reason
1/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
Ballad Health
Shane Hilton, EVP, Chief Financial Officer
(423) 302-3467
Primary Contact
Ballad Health
Trish Tanner, VP, Chief Pharmacy Officer
(423) 302-3532
Addresses
Street Address
1424 Tusculum Blvd.
Suite 2800
Greeneville, TN 37745-4279
Billing Address
Ballad Health
400 North State of Franklin Rd.
Johnson City, TN 37604
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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