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DSH180018N ST CLAIRE MEDICAL CENTER INC (Active)
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Main Details
Name
ST CLAIRE MEDICAL CENTER INC
Subdivision Name
ST CLAIRE REGIONAL PEDIATRICS
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180018N
Medicare Provider Number
180018
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
2/27/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/12/2015
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
St. Claire Medical Center
Chris McClurg, VP FINANCIAL SERVICES/CFO
(606) 783-6587
Primary Contact
St. Claire Healthcare
Caitlin Marie Guerin, Director of Pharmacy
(606) 783-6693
Addresses
Street Address
716 West Main
MOREHEAD, KY 40351-1194
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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