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DSH180005J HIGHLANDS ARH REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
HIGHLANDS ARH REGIONAL MEDICAL CENTER
Subdivision Name
ARH Medical and Surgical Associates - Highlands Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180005J
Medicare Provider Number
180005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/2/2019
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
ARH
Maria Braman, Chief Medical Officer
(406) 465-8506
Primary Contact
Appalachian Regional Healthcare, Inc
Michael Herald, Associate Vice President of Pharmaceutical Services
(606) 438-1210
Addresses
Street Address
5000 KY Route 321
Suite 1001
Prestonsburg, KY 41653
Billing Address
Highlands ARH Regional Medical Center - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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