340B Drug Pricing Program Database
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DSH180138B Baptist Health Lagrange (Active)
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Main Details
Name
Baptist Health Lagrange
Subdivision Name
BAPTIST HEALTH LAGRANGE EASTPOINT ONCOLOGY INFUSION
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180138B
Medicare Provider Number
180138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/24/2015
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Baptist Health La Grange
Clint Kaho, President
(502) 222-3329
Primary Contact
Baptist Health LaGrange
Angela Sandlin, Director of Pharmacy
(502) 222-3352
Addresses
Street Address
2400 EASTPOINT PARKWAY STE 310
LOUISVILLE, KY 40223
Billing Address
Baptist Health LaGrange
1025 New Moody Lane
LaGrange, KY 40031
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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