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DSH250082 DELTA HEALTH-THE MEDICAL CENTER (Active)
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Main Details
Name
DELTA HEALTH-THE MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250082
Medicare Provider Number
250082
Additional Details
Current Program Status
Active
Registration Date
12/15/2006
Participating Start Date
7/1/2004
Participating Approval Date
12/15/2006
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Delta Health System
Charles T Moore, Chief Financial Officer
(662) 725-2007
Primary Contact
Delta Health-The Medical Center
Jamie Cole, Pharmacy Operations Specialist
(662) 725-2210
Addresses
Street Address
1400 EAST UNION STREET
GREENVILLE, MS 38703
Billing Address
DELTA HEALTH-THE MEDICAL CENTER
P O Box 5247
Greenville, MS 38701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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