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DSH440050W TAKOMA REGIONAL HOSPITAL (Terminated)
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Main Details
Name
TAKOMA REGIONAL HOSPITAL
Subdivision Name
INFUSION CENTER B - INFUSION
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH440050W
Medicare Provider Number
440050
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2018
Participating Start Date
4/1/2018
Participating Approval Date
2/13/2018
Last Recertification Date
Termination Date
Termination Reason
10/1/2018
Site closure
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
401 TAKOMA AVENUE
GREENEVILLE, TN 37743
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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