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DSH360159AJ ADENA REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
ADENA REGIONAL MEDICAL CENTER
Subdivision Name
ADENA FAMILY MEDICINE MAIN CAMPUS C - Family Medicine Residency Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360159AJ
Medicare Provider Number
360159
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2022
Participating Start Date
4/1/2022
Participating Approval Date
2/1/2022
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Adena Health System
Katherine Edrington, Chief Operations Officer
(740) 779-7282
Primary Contact
Adena Health System
Fred Yingling, Director of Pharmacy
(740) 779-7648
Addresses
Street Address
4461 STATE ROUTE 159
STE A
CHILLICOTHE, OH 45601-6000
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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