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DSH010079 ATHENS-LIMESTONE (Terminated)
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Main Details
Name
ATHENS-LIMESTONE
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH010079
Medicare Provider Number
010079
Additional Details
Current Program Status
Terminated
Registration Date
5/2/2006
Participating Start Date
3/15/2022
Participating Approval Date
5/3/2006
Last Recertification Date
9/8/2023
Termination Date
Termination Reason
1/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
Athens Limestone Hospital
JAMES R. COMER, CFO
(256) 233-9172
Primary Contact
Athens Limestone Hospital
Laura Garrie, Mgr. of Accounting
(256) 262-6468
Addresses
Street Address
700 WEST MARKET STREET
ATHENS, AL 35611
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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5/11/10 ZIP UPDATED (WAS 35612)
05/11/2010
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