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DSH180070B Owensboro Health Twin Lakes Regional Medical Center, Inc (Active)
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Main Details
Name
Owensboro Health Twin Lakes Regional Medical Center, Inc
Subdivision Name
Family Medicine Caneyville Rural Health Clinic - Primary Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180070B
Medicare Provider Number
180070
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/4/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/14/2023
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Twin Lakes Regional Medical Center
Ashley Herrington, CEO
(270) 259-9510
Primary Contact
Twin Lakes Regional Medical Center
Angela Gibson, Director of Pharmacy
(270) 259-9520
Addresses
Street Address
301 Sunset Drive
Caneyville, KY 42721
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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