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CAH181328-00 ARH Mary Breckinridge Health Services, Inc. (Active)
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Main Details
Name
ARH Mary Breckinridge Health Services, Inc.
Subdivision Name
Barbourville ARH Hospital
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181328-00
Medicare Provider Number
181328
Additional Details
Current Program Status
Active
Registration Date
10/9/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/22/2015
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
ARH
Maria Braman, Chief Medical Officer
(406) 465-8506
Primary Contact
Appalachian Regional Healthcare, Inc
Michael Herald, Associate Vice President of Pharmaceutical Services
(606) 438-1210
Addresses
Street Address
80 HOSPITAL DRIVE
BARBOURVILLE, KY 40906
Billing Address
Barbourville ARH Hospital - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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