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DSH510062H APPALACHIAN REGIONAL HEALTHCARE, INC. (Terminated)
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Main Details
Name
APPALACHIAN REGIONAL HEALTHCARE, INC.
Subdivision Name
Medical Mall / Dermatology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH510062H
Medicare Provider Number
510062
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
2/3/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/15/2017
Last Recertification Date
9/5/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Appalachian Regional Healthcare
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450
Primary Contact
Appalachian Regional Healthcare
Jeffrey Akers, CEO of Pharmaceutical Services
(606) 616-2296
Addresses
Street Address
1256 N. Eisenhower Drive
Beckley, WV 25801
Billing Address
Beckley ARH Hospital - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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