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CAH441313-00 HANCOCK COUNTY HOSPITAL (Active)
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Main Details
Name
HANCOCK COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH441313-00
Medicare Provider Number
441313
Additional Details
Current Program Status
Active
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/12/2018
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Ballad Health
Shane Hilton, EVP, Chief Financial Officer
(423) 302-3467
Primary Contact
Ballad Health
Trish Tanner, VP, Chief Pharmacy Officer
(423) 302-3532
Addresses
Street Address
1519 MAIN ST
Hwy 33
SNEEDVILLE, TN 37869-3657
Billing Address
HANCOCK COUNTY HOSPITAL
P.O. BOX 659
KINGSPORT, TN 37662
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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