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DSH180103J Baptist Health Lexington (Active)
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Main Details
Name
Baptist Health Lexington
Subdivision Name
Radiology diagnostics - Radiology Diagnostic Alysheba
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180103J
Medicare Provider Number
180103
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/16/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/22/2023
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Baptist Health Lexington
Christopher M. Roty, President
(859) 260-6104
Primary Contact
Baptist Health Lexington
Brian Host, Director of Pharmacy
(859) 260-5177
Addresses
Street Address
1775 Alysheba Way
Lexington, KY 40509
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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