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DSH180049C BAPTIST HEALTH RICHMOND (Active)
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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
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
8/22/2024
Contacts
Authorizing Official
Baptist Health Richmond
Greg Gerard, President
(859) 625-3114
Primary Contact
Baptist Health Richmond
Laurel Smith, Pharmacy Director
(859) 625-3478
Addresses
Street Address
793 EASTERN BYPASS
Medical Office Park 3
G2
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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