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RRC250040-43 SINGING RIVER HEALTH SYSTEM (Approved)
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Main Details
Name
SINGING RIVER HEALTH SYSTEM
Subdivision Name
Singing River Gulfport Digestive Health - Gastroenterology
Type
Rural Referral Center
Rural
Yes
340B ID
RRC250040-43
Medicare Provider Number
250040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/10/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/16/2025
Last Recertification Date
Contacts
Authorizing Official
Singing River Health System
Heath Allen Thompson, Administrator Ancillary Services
(228) 818-1191
Primary Contact
Singing River Health System
Lisa D Fratesi, Executive Director of Pharmacy
(662) 347-0066
Addresses
Street Address
15190 Community Road
Suite 240
Gulfport, MS 39581
Billing Address
Singing River Health System
2809 Denny Avenue
Pascagoula, MS 39581
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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