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DSH420004NX MEDICAL UNIVERSITY HOSPITAL AUTHORITY (Approved)
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Main Details
Name
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Subdivision Name
Children's Health Mt Pleasant-Endocrinology - Endocrinology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH420004NX
Medicare Provider Number
420004
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/5/2025
Last Recertification Date
Contacts
Authorizing Official
Medical University Hospital Authority
Thomas C Crawford, Chief Operating Officer
(843) 792-8775
Primary Contact
MUSC Health
Sharelle Brown, Executive System Director Pharmacy Business and Finance
(248) 396-8085
Addresses
Street Address
2705 Hwy 17
Mt Pleasant, SC 29466
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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