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DSH150061 DAVIESS COMMUNITY HOSPITAL (Active)
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Main Details
Name
DAVIESS COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150061
Medicare Provider Number
150061
Additional Details
Current Program Status
Active
Registration Date
7/8/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/25/2015
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Daviess Community Hospital
April Settles, Chief Financial Officer
(812) 254-2760 Ext: 1103
Primary Contact
Daviess Community Hospital
Lora Fougerousse, Director of Pharmacy
(812) 254-2760 Ext: 1391
Addresses
Street Address
1314 E. WALNUT STREET
WASHINGTON, IN 47501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/25/15 Participated starting 10/1/2013, terminated 10/1/2014 due to DSH falling below statutory minimum, Reinstated based on new registration submitted in July 2015
08/25/2015
May 2025
May 2025
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