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DSH340023BH PARK RIDGE HEALTH (Terminated)
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Main Details
Name
PARK RIDGE HEALTH
Subdivision Name
FLETCHER HOSPITAL INCORPORATED / Park Ridge Health Foundation in Spine Health
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH340023BH
Medicare Provider Number
340023
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/29/2015
Last Recertification Date
Termination Date
Termination Reason
7/1/2015
Other
Contacts
Authorizing Official
Park Ridge Health
Ella Stenstrom, CFO
(828) 681-2102
Primary Contact
Southeast Region
Diane Molnar, 340B Regional Manager
(828) 681-2168
Addresses
Street Address
333 GASHES CREEK ROAD SUITE 111
PARK RIDGE HEALTH DBA PARKWAY MEDICAL GROUP
ASHEVILLE, NC 28803-9405
Billing Address
Park Ridge Health
50 Hospital Drive, Suite G-A
Hendersonville, NC 28792
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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