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DSH180017V TJ SAMSON COMMUNITY HOSPITAL (Active)
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Main Details
Name
TJ SAMSON COMMUNITY HOSPITAL
Subdivision Name
MAGNETIC RESONANCE IMAGING (MRI) - MAGNETIC RESONANCE IMAGING (MRI)
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180017V
Medicare Provider Number
180017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/3/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/16/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
TJ Regional Health
Neil Thornbury, CEO
(270) 651-4159
Primary Contact
TJ Regional Health
John Thomas Rogers, Compliance Officer
(270) 651-4513
Addresses
Street Address
310 N. L. ROGERS WELLS BLVD
GLASGOW, KY 42141-1300
Billing Address
TJ SAMSON COMMUNITY HOSPITAL
1301 NORTH RACE STREET
GLASGOW, KY 42141
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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