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KING'S DAUGHTERS MEDICAL CENTER - OHIO
DSH180009 KING'S DAUGHTERS MEDICAL CENTER
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Covered Entity Details
Entity Name
KING'S DAUGHTERS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180009
Entity Address
2201 LEXINGTON AVENUE
ASHLAND, KY 41101
Medicare Provider Number
180009
Participating Start Date
4/1/2006
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
KING'S DAUGHTERS MEDICAL CENTER - OHIO
Pharmacy Address
DBA PORTSMOUTH HOSPITAL CORPORATION
1901 ARGONNE RD
PORTSMOUTH, OH 45662
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristie Whitlatch, CEO
(606) 408-4401
Contract Pharmacy Representative
Kings Daughters Medical Center Ohio
Craig Hazelbaker, PIC
(740) 991-1200
Signed By Date
1/14/2020
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