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DSH250069 RUSH FOUNDATION HOSPITAL (Active)
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Main Details
Name
RUSH FOUNDATION HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250069
Medicare Provider Number
250069
Additional Details
Current Program Status
Active
Registration Date
3/12/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/12/2008
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Ochsner Rush Health
David Butler, Chief Financial Officer
(601) 703-3082
Primary Contact
Rush Foundation Hospital
Nicole Harmon, Director of Pharmacy
(601) 703-4952
Addresses
Street Address
1314 19TH AVENUE
MERIDIAN, MS 39301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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