340B Drug Pricing Program Database
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DSH180035AH ST ELIZABETH HEALTHCARE (Terminated)
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Main Details
Name
ST ELIZABETH HEALTHCARE
Subdivision Name
Edge Cancer Care Dearborn County - Cancer Care
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180035AH
Medicare Provider Number
180035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/10/2019
Last Recertification Date
8/25/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
St. Elizabeth Healthcare
Lori Ritchey-Baldwin, CFO
(859) 655-1642
Primary Contact
St. Elizabeth Healthcare
Joe Thamann, Director of Reimbursement
(859) 655-1889
Addresses
Street Address
606 Wilson Creek Rd
Ste 130
Lawrenceburg, IN 47025
Billing Address
St. Elizabeth Healthcare
1 Medical Village Dr.
Edgewood, KY 41017-3403
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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