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SCH420009-00 OCONEE MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
OCONEE MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH420009-00
Medicare Provider Number
420009
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/21/2024
Last Recertification Date
8/23/2024
Termination Date
Termination Reason
4/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Prisma Health Oconee Memorial Hospital
Hunter Kome, CEO
(864) 885-7190
Primary Contact
Prisma Health
Abigail Bouknight, Manager 340B
(803) 920-3041
Addresses
Street Address
298 MEMORIAL DRIVE
SENECA, SC 29672
Billing Address
Prisma Health
PO Box 402121
Atlanta, GA 30384
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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