340B Drug Pricing Program Database
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DSH110107V Atrium Health Navicent The Medical Center (Active)
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Main Details
Name
Atrium Health Navicent The Medical Center
Subdivision Name
Operating Room - Operating Room
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110107V
Medicare Provider Number
110107
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/1/2024
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Atrium Health Navicent
Kimberly Shrewsbury, SVP and CFO
(205) 965-7895
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
840 Pine Street
2nd floor
Macon, GA 31201-2102
Billing Address
Atrium Health Navicent The Medical Center
777 Hemlock Street
MSC #113
Macon, GA 31201-2102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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