340B Drug Pricing Program Database
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DSH110150 Atrium Health Navicent Baldwin (Active)
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Main Details
Name
Atrium Health Navicent Baldwin
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH110150
Medicare Provider Number
110150
Additional Details
Current Program Status
Active
Registration Date
10/2/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/3/2018
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Atrium Health Navicent
Kimberly Shrewsbury, SVP and CFO
(205) 965-7895
Primary Contact
North Carolina Baptist Hospital
Bibi W Wishart, Program Director, 340B
(336) 713-3426
Addresses
Street Address
821 N. COBB STREET
MILLEDGEVILLE, GA 31061
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Initial start date 7/1/2006, Termination date 10/1/2018, Reinstatement 1/1/2019
10/03/2018
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