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DSH180020S MIDDLESBORO ARH HOSPITAL (Active)
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Main Details
Name
MIDDLESBORO ARH HOSPITAL
Subdivision Name
Middlesboro ARH Internal Medicine Clinic - Hematology & Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180020S
Medicare Provider Number
180020
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2021
Participating Start Date
4/1/2021
Participating Approval Date
2/2/2021
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
3602 West Cumberland Avenue
Suite B-101
Middlesboro, KY 40965
Billing Address
Middlesboro ARH Hospital - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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