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DSH250040A SINGING RIVER HEALTH SYSTEM (Terminated)
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Main Details
Name
SINGING RIVER HEALTH SYSTEM
Subdivision Name
OCEAN SPRINGS HOSPITAL
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250040A
Medicare Provider Number
250040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/18/2005
Participating Start Date
10/18/2005
Participating Approval Date
10/18/2005
Last Recertification Date
9/1/2015
Termination Date
Termination Reason
4/1/2016
Site closure
Contacts
Authorizing Official
Singing River Health System
Heath Allen Thompson, Administrator Ancillary Services
(228) 818-1191
Primary Contact
MADELLINE COLLAZO, DIRECTOR OF PHARMACY SERVICES
(228) 809-5650
Addresses
Street Address
3109 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/31/09- DOC. RECD TO CONFIRM ELIG. DSH ADJ. PERCENTAGE'; 5/1/09 UPDATED NAME (WAS SINGING RIVER HOSPITAL SYSTEM)
05/30/2012
8/31/09- DOC. RECD TO CONFIRM ELIG. DSH ADJ. PERCENTAGE'; 5/1/09 UPDATED NAME (WAS SINGING RIVER HOSPITAL SYSTEM)
08/14/2007
8/31/09- DOC. RECD TO CONFIRM ELIG. DSH ADJ. PERCENTAGE'; 5/1/09 UPDATED NAME (WAS SINGING RIVER HOSPITAL SYSTEM)
08/14/2007
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