340B Drug Pricing Program Database
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CAH181315-03 FORT LOGAN HOSPITAL (Active)
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Main Details
Name
FORT LOGAN HOSPITAL
Subdivision Name
North Garrard Family Medical Center - North Garrard Family Medical Center
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH181315-03
Medicare Provider Number
181315
Outpatient Facility Provider Number
188513
Additional Details
Current Program Status
Active
Registration Date
4/5/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/1/2019
Last Recertification Date
8/13/2024
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
510 Camp Dick Road
Lancaster, KY 40444
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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