340B Drug Pricing Program Database
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DSH180044V PIKEVILLE MEDICAL CENTER, INC. (Active)
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Main Details
Name
PIKEVILLE MEDICAL CENTER, INC.
Subdivision Name
PIKEVILLE MEDICAL CENTER PLASTIC & - Pikeville Medical Center Aesthetic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180044V
Medicare Provider Number
180044
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/9/2022
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Pikeville Medical Center
MICHELLE HAGY, CFO
(606) 430-3519
Primary Contact
Pikeville Medical Center inc.
Marcus Conley, Assistant Chief Financial Officer
(606) 430-3509
Addresses
Street Address
911 BYPASS RD
BLDG C
PIKEVILLE, KY 41501-1689
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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