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DSH180012K HARDIN MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
HARDIN MEMORIAL HOSPITAL
Subdivision Name
Wound Care Clinic - Wound and Vascular physician clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180012K
Medicare Provider Number
180012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/3/2018
Last Recertification Date
Termination Date
Termination Reason
10/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Hardin Memorial Hospital
Thomas Carrico, Chief Operating Officer
(270) 706-5321
Primary Contact
Hardin Memorial Health
Christopher Diem, Director, Retail Pharmacy Operations
(270) 979-3725
Addresses
Street Address
1010 Woodland Drive
Elizabethtown, KY 42701
Billing Address
Hardin Memorial Hospital
913 North Dixie Avenue
Elizabethtown, KY 42701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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