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DSH180044D PIKEVILLE MEDICAL CENTER, INC. (Terminated)
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Main Details
Name
PIKEVILLE MEDICAL CENTER, INC.
Subdivision Name
WHITESBURG SLEEP LAB
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180044D
Medicare Provider Number
180044
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/17/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/24/2017
Last Recertification Date
8/15/2018
Termination Date
Termination Reason
10/1/2019
Site closure
Contacts
Authorizing Official
Pikeville Medical Center
MICHELLE HAGY, CFO
(606) 430-3519
Primary Contact
Pikeville Medical Center inc.
Marcus Conley, Assistant Chief Financial Officer
(606) 430-3509
Addresses
Street Address
60 MAIN STREET
WHITESBURG, KY 41858-7318
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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