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DSH180044C PIKEVILLE MEDICAL CENTER, INC. (Active)
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Main Details
Name
PIKEVILLE MEDICAL CENTER, INC.
Subdivision Name
PIKEVILLE SLEEP LAB
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180044C
Medicare Provider Number
180044
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/17/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/24/2017
Last Recertification Date
8/13/2024
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
911 Bypass Road
Building A
PIKEVILLE, KY 41501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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