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DSH110034 AU Medical Center, Inc. (Active)
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Main Details
Name
AU Medical Center, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110034
Medicare Provider Number
110034
Additional Details
Current Program Status
Active
Registration Date
10/30/2007
Participating Start Date
12/1/1992
Participating Approval Date
10/30/2007
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
AU Medical Center, Inc.
Jennifer Moore Miller, VP, Strategy and Business Development
(706) 721-5250
Primary Contact
AU Medical Center, Inc.
Gerard Schick, Business Operations and 340B Manager
(706) 721-3979
Addresses
Street Address
1120 15TH ST.
AUGUSTA, GA 30912
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/9/2010- UPDATED ENTITY NAME (WAS MEDICAL COLLEGE OF GEORGIA HEALTHCARE)
10/30/2007
May 2025
May 2025
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