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DSH110146 Southeast Georgia Health System Camden Campus (Active)
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Main Details
Name
Southeast Georgia Health System Camden Campus
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH110146
Medicare Provider Number
110146
Additional Details
Current Program Status
Active
Registration Date
3/5/2007
Participating Start Date
11/29/2022
Participating Approval Date
3/5/2007
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Southeast Georgia Health System
Eric Jolly, Vice President of Finance
(912) 466-3303
Primary Contact
DSH110146
KEVIN SMILEY, PHARMACY MANAGER
(912) 576-6277
Addresses
Street Address
2000 DAN PROCTOR DRIVE
SAINT MARYS, GA 31558
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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