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DSH180049C BAPTIST HEALTH RICHMOND (Active)
Main Details
Name
BAPTIST HEALTH RICHMOND
Subdivision Name
BAPTIST HEALTH RICHMOND INC / Outpatient Infusion Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180049C
Medicare Provider Number
180049
Outpatient Facility Provider Number
Contacts
Authorizing Official
Baptist Health Richmond
Greg Gerard, President
(859) 625-3114
Primary Contact
Baptist Health Richmond
Laurel Smith, Pharmacy Director
(859) 625-3478
Additional Details
Current Program Status
Active
Registration Date
9/1/2016
Participating Start Date
10/1/2016
Participating Approval Date
9/2/2016
Last Recertification Date
9/1/2023
Addresses
Street Address
793 EASTERN BYPASS
STE 214 & Suite 106
RICHMOND, KY 40475-2422
Billing Address
Baptist Health Richmond
801 Eastern Bypass
Richmond, KY 40475
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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