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CAH181302-02 JAMES B HAGGIN MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
JAMES B HAGGIN MEMORIAL HOSPITAL
Subdivision Name
EPHRAIM MCDOWELLHAGGIN PRIMARY CARE - Ephraim McDowell Haggin Primary Care
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181302-02
Medicare Provider Number
181302
Outpatient Facility Provider Number
188507
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/18/2019
Last Recertification Date
8/30/2022
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
Fort Logan Hospital/James B. Haggin Hospital
Lynne Warner Lynn, Hospital Administrator
(859) 239-2329
Primary Contact
Ephraim McDowell Health
Megan N Curtis, 340B Program Coordinator
(859) 239-1727
Addresses
Street Address
470 LINDEN AVE
STE 5
HARRODSBURG, KY 40330-1871
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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