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DSH180067AL UNIVERSITY HOSPITAL (Terminated)
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Main Details
Name
UNIVERSITY HOSPITAL
Subdivision Name
UK APPALACHIAN HEART CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180067AL
Medicare Provider Number
180067
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/8/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/15/2015
Last Recertification Date
Termination Date
Termination Reason
7/1/2016
Site closure
Contacts
Authorizing Official
University of Kentucky HealthCare
Colleen Hope Swartz, Vice President for Hospital Operations
(859) 361-4496
Primary Contact
University of Kentucky
Dan Grantz, Senior Director, Ambulatory Pharmacy Services
(859) 323-6016
Addresses
Street Address
200 MEDICAL CENTER DR 2A
HAZARD, KY 41701-9422
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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