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DSH110194 DONALSONVILLE HOSPITAL (Terminated)
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Main Details
Name
DONALSONVILLE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH110194
Medicare Provider Number
110194
Additional Details
Current Program Status
Terminated
Registration Date
6/1/2006
Participating Start Date
7/1/2013
Participating Approval Date
5/23/2013
Last Recertification Date
9/8/2016
Termination Date
Termination Reason
10/1/2016
Failure to recertify
Contacts
Authorizing Official
Chuck Orrick, Administrator
(229) 524-5217 Ext: 213
Primary Contact
Chuck Orrick, Administrator
(229) 524-5217 Ext: 213
Addresses
Street Address
102 HOSPITAL CIRCLE
DONALSONVILLE, GA 39845
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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5/23/13 participating 7/1/06 thru 6/30/12, not participating 7/1/12 thru 6/30/13 (due to failure to recertify), re-instated based on new registration submitted
05/23/2013
April 2025
April 2025
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