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DSH180012F Baptist Health Hardin (Active)
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Main Details
Name
Baptist Health Hardin
Subdivision Name
Baptist Health Hardin Cancer Care Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180012F
Medicare Provider Number
180012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
2/6/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/15/2017
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Baptist Health Hardin
Thomas Carrico, Chief Operating Officer
(270) 706-5321
Primary Contact
Baptist Health Hardin
Christopher Michael Diem, System 340B Director
(270) 979-3725
Addresses
Street Address
200 Cardinal Drive
Suite 301
Elizabethtown, KY 42701
Billing Address
Baptist Health Hardin
913 North Dixie Avenue
Elizabethtown, KY 42701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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