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DSH010125 LAKELAND COMMUNITY HOSPITAL (Terminated)
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Main Details
Name
LAKELAND COMMUNITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH010125
Medicare Provider Number
010125
Additional Details
Current Program Status
Terminated
Registration Date
1/3/2020
Participating Start Date
4/1/2020
Participating Approval Date
3/9/2020
Last Recertification Date
8/16/2021
Termination Date
Termination Reason
4/1/2022
DSH percentage below statutory minimum
Contacts
Authorizing Official
Lakeland Community Hospital
Kimberly Dawn Albright, Chief Financial Officer
(205) 485-7120
Primary Contact
Lakeland Community Hospital
Meagan Elizabeth Phillips, Director of Pharmacy
(205) 485-7380
Addresses
Street Address
42024 HIGHWAY 195 EAST
HALEYVILLE, AL 35565
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2018; Terminated 10/1/2019; Reinstated 4/1/2020.
03/09/2020
April 2025
April 2025
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