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DSH110001 HAMILTON MEDICAL CENTER INC. (Active)
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Main Details
Name
HAMILTON MEDICAL CENTER INC.
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110001
Medicare Provider Number
110001
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
5/16/2005
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Hamilton Medical Center
Randall Foster, Vice President-Finance
(706) 272-6124 Ext: 6124
Primary Contact
Hamilton Medical Center
Gregory K. Stinnett, Director of Pharmacy
(706) 272-6020
Addresses
Street Address
1200 Memorial Dr
DALTON, GA 30720
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/29/12 add NPI NEW ADD 7/05
02/29/2012
NEW ADD 7/05
05/16/2005
April 2025
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