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DSH180049E BAPTIST HEALTH RICHMOND (Active)
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Main Details
Name
BAPTIST HEALTH RICHMOND
Subdivision Name
Multi Spec Clinic - Ambulatory Care Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH180049E
Medicare Provider Number
180049
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/2/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/1/2023
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Baptist Health Richmond
Greg Gerard, President
(859) 625-3114
Primary Contact
Baptist Health Richmond
Laurel Smith, Pharmacy Director
(859) 625-3478
Addresses
Street Address
789 Eastern Bypass
Suite 25
Richmond, KY 40475
Billing Address
Baptist Health Richmond
801 Eastern Bypass
RICHMOND, KY 40475
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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