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SCH180105-00 MONROE COUNTY MEDICAL CENTER (Active)
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Main Details
Name
MONROE COUNTY MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH180105-00
Medicare Provider Number
180105
Additional Details
Current Program Status
Active
Registration Date
4/2/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/17/2018
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Monroe County Medical Center
Andrea Lane Rich-McLerran, CEO
(270) 487-9231 Ext: 1154
Primary Contact
Monroe County Medical Center
Rhiannon Nicole Smith, Director of Pharmacy Services
(270) 487-9231 Ext: 1150
Addresses
Street Address
529 CAPP HARLAN ROAD
TOMPKINSVILLE, KY 42167
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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