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DSH180069Q TUG VALLEY ARH REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
TUG VALLEY ARH REGIONAL MEDICAL CENTER
Subdivision Name
ARH SPECIALTY ASSOCIATES TUG VALLEY - Endocrinology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180069Q
Medicare Provider Number
180069
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/6/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/10/2022
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
306 Hospital Drive
Suite 203
South Williamson, KY 41503
Billing Address
Tug Valley ARH Regional Medical Center - Accounts Payable
200 Hospital Drive
South Williamson, KY 41503
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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