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DSH420071 SELF REGIONAL HEALTHCARE (Terminated)
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Main Details
Name
SELF REGIONAL HEALTHCARE
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH420071
Medicare Provider Number
420071
Additional Details
Current Program Status
Terminated
Registration Date
12/1/2006
Participating Start Date
1/1/2007
Participating Approval Date
12/1/2006
Last Recertification Date
8/24/2023
Termination Date
Termination Reason
4/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
Self Regional Healthcare
Tim Evans, VICE PRESIDENT & CFO
(864) 725-4248
Primary Contact
Self Regional Healthcare
Jennifer G Elrod, Director of Pharmacy Services
(864) 725-5774
Addresses
Street Address
1325 SPRING STREET
GREENWOOD, SC 29646
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
April 2025
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