340B Drug Pricing Program Database
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DSH180069L TUG VALLEY ARH REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
TUG VALLEY ARH REGIONAL MEDICAL CENTER
Subdivision Name
ARH TUG VALLEY MEDICAL ASSOCIATES - PRIMARY CARE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180069L
Medicare Provider Number
180069
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/22/2019
Last Recertification Date
9/5/2019
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Appalachian Regional Healthcare
Joseph Grossman, PRESIDENT and CEO
(859) 226-2450
Primary Contact
Appalachian Regional Healthcare
Jeffrey Akers, CEO of Pharmaceutical Services
(606) 616-2296
Addresses
Street Address
306 Hospital Drive
Suite 202C
South Williamson, KY 41503
Billing Address
Tug Valley ARH Regional Medical Center - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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