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DSH180143H SAINT JOSEPH EAST (Active)
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Main Details
Name
SAINT JOSEPH EAST
Subdivision Name
Breast Care Center - Diagnostic Mamography Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180143H
Medicare Provider Number
180143
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/2/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/11/2018
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Saint Joseph East
Jennifer Camille Nolan, President
(859) 967-5618
Primary Contact
Saint Joseph East
Joseph Lee Osborne, Pharmacy Manager
(859) 967-5576
Addresses
Street Address
160 N Eagle Creek Drive
101
Lexington, KY 40509
Billing Address
Commonspirit Health
PO Box 636000
Littleton, CO 80163
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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