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CAH181309-03 CASEY COUNTY HOSPITAL DISTRICT D/B/A CASEY COUNTY HOSPITAL (Active)
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Main Details
Name
CASEY COUNTY HOSPITAL DISTRICT D/B/A CASEY COUNTY HOSPITAL
Subdivision Name
Casey County Intensive Outpatient Psych - Psych
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181309-03
Medicare Provider Number
181309
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/10/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/17/2018
Last Recertification Date
8/30/2024
Contacts
Authorizing Official
CAH
Richard John Hendershot, CFO
(606) 787-6275 Ext: 605
Primary Contact
Casey County Hospital
Christopher Dudgeon, Assistant Chief Financial Officer
(606) 787-6275 Ext: 604
Addresses
Street Address
174 Sanders Street
Liberty, KY 42743
Billing Address
Casey County Hospital
187 Wolford Avenue
Liberty, KY 42743
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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