340B Drug Pricing Program Database
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DSH440104FD Erlanger Health (Active)
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Main Details
Name
Erlanger Health
Subdivision Name
UT/ERL Institute of Sports and Health - Primary Care - Primary Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH440104FD
Medicare Provider Number
440104
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/14/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/21/2018
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Erlanger Health
Misty Brackett, VP Revenue Cycle
(423) 778-9775
Primary Contact
Erlanger Health System
Ngoc T. Le, 340B Program Coordinator
(423) 778-8194
Addresses
Street Address
632 Morrison Springs Road
Chattanooga, TN 37415
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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