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DSH420019A MUSC HEALTH CHESTER MEDICAL CENTER (Active)
Main Details
Name
MUSC HEALTH CHESTER MEDICAL CENTER
Subdivision Name
Rural Health Clinic VIII - MUSC Health Primary Care - Marion
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH420019A
Medicare Provider Number
420019
Outpatient Facility Provider Number
Contacts
Authorizing Official
Medical University Hospital Authority
Thomas C Crawford, Chief Operating Officer
(843) 792-8775
Primary Contact
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Gail M Kushner, Director, 340B
(843) 985-2371
Additional Details
Current Program Status
Active
Registration Date
1/10/2024
Participating Start Date
4/1/2024
Participating Approval Date
3/6/2024
Last Recertification Date
Addresses
Street Address
1205 North Main Street
Marion, SC 29571
Billing Address
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
PO Box 31244
Salt Lake City, UT 84131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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