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DSH250006E BAPTIST MEMORIAL HOSPITAL - UNION COUNTY (Approved)
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Main Details
Name
BAPTIST MEMORIAL HOSPITAL - UNION COUNTY
Subdivision Name
Baptist Union County Cancer Center Booneville - clinic, oncology and infusion
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250006E
Medicare Provider Number
250006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/1/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/11/2025
Last Recertification Date
Contacts
Authorizing Official
Baptist Memorial Health Care Corporation
Cyndi Pittman, VP Financial Operations
(901) 227-8480
Primary Contact
Baptist Memorial Health Care Corp
Donna C Cox, Director 340B
(901) 227-5144
Addresses
Street Address
100 Hospital Dr.
Booneville, MS 38829
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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