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DSH180029M HAZARD ARH REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
HAZARD ARH REGIONAL MEDICAL CENTER
Subdivision Name
JACKSON ARH SPECIALTY CLINIC - ONCOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180029M
Medicare Provider Number
180029
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2017
Participating Start Date
1/1/2018
Participating Approval Date
10/17/2017
Last Recertification Date
9/5/2019
Termination Date
Termination Reason
1/1/2020
Hospital Outpatient facility no longer eligible
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
424 Jet Drive
JACKSON, KY 41339
Billing Address
Hazard ARH Regional Medical Center - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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