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DSH180079B HARRISON MEMORIAL HOSPITAL (Active)
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Main Details
Name
HARRISON MEMORIAL HOSPITAL
Subdivision Name
HMH Primary Care Falmouth - Rural Health Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180079B
Medicare Provider Number
180079
Outpatient Facility Provider Number
188560
Additional Details
Current Program Status
Active
Registration Date
4/5/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/12/2024
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Harrison Memorial Hospital
Kathy Tussey, Chief Executive Officer
(859) 234-2300 Ext: 3504
Primary Contact
Harrison Memorial Hospital
Brett Taylor Meade, Pharmacist
(859) 235-6210
Addresses
Street Address
1102 West Shelby Street
Falmouth, KY 41031
Billing Address
Harrison Memorial Hospital, Inc. The
1210 KY Highway 36E
Cynthiana, KY 41031
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 10/1/2023, Termination Date 4/1/2024, Reinstatement 7/1/2024
04/09/2024
June 2025
June 2025
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