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DSH180048J EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC. (Active)
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Main Details
Name
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.
Subdivision Name
OUTPATIENT DEPARTMENT OF THE HOSPITAL - EPHRAIM MCDOWELL EYE AND VISION CENTER
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180048J
Medicare Provider Number
180048
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/3/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/6/2020
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Ephraim McDowell Health
Amanda J. Kinman, Chief Financial Officer
(859) 239-2424
Primary Contact
Ephraim McDowell Health
Megan N Curtis, 340B Program Coordinator
(859) 239-1727
Addresses
Street Address
1541 LEBANON RD, SUITE 2
DANVILLE, KY 40422
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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