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DSH110044 PHOEBE SUMTER MEDICAL CENTER (Active)
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Main Details
Name
PHOEBE SUMTER MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH110044
Medicare Provider Number
110044
Additional Details
Current Program Status
Active
Registration Date
4/11/2008
Participating Start Date
7/1/2004
Participating Approval Date
4/11/2008
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Phoebe Sumter Medical Center, Inc
Michelle H Doggett, VP Controller, PSMC
(229) 931-1288
Primary Contact
Phoebe Sumter Medical Center, Inc.
Darryl Lane Hawkins, Manager, Pharmacy
(229) 931-1209
Addresses
Street Address
126 Hwy 280 West
AMERICUS, GA 31719
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
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12/20/11 UPDATED MAIN & BILL ADD (WAS 1048 E. FORSYTH ST, AMERICUS, GA 31709), ADDED SHIP TO ADD; 9/28/11 UPDATED BILLING ADD (WAS 100 WHEATLEY DR); 8/2/2009- UPDATED ADD. (WAS 100 WHEATLEY DRIVE), ADDED BILLING ADD.& UPDATED AUTH. OFFICIAL ; 06/23/10 UPDATED ENTITY NAME (WAS SUMTER REGIONAL HOSPITAL) 12/21/11 update shipping/billing address to match main address, update AO/PC email addresses
12/21/2011
12/20/11 UPDATED MAIN & BILL ADD (WAS 1048 E. FORSYTH ST, AMERICUS, GA 31709), ADDED SHIP TO ADD; 9/28/11 UPDATED BILLING ADD (WAS 100 WHEATLEY DR); 8/2/2009- UPDATED ADD. (WAS 100 WHEATLEY DRIVE), ADDED BILLING ADD.& UPDATED AUTH. OFFICIAL ; 06/23/10 UPDATED ENTITY NAME (WAS SUMTER REGIONAL HOSPITAL)
12/20/2011
9/28/11 UPDATED BILLING ADD (WAS 100 WHEATLEY DR); 8/2/2009- UPDATED ADD. (WAS 100 WHEATLEY DRIVE), ADDED BILLING ADD.& UPDATED AUTH. OFFICIAL ; 06/23/10 UPDATED ENTITY NAME (WAS SUMTER REGIONAL HOSPITAL)
09/29/2011
8/2/2009- UPDATED ADD. (WAS 100 WHEATLEY DRIVE), ADDED BILLING ADD.& UPDATED AUTH. OFFICIAL ; 06/23/10 UPDATED ENTITY NAME (WAS SUMTER REGIONAL HOSPITAL)
06/23/2010
8/2/2009- UPDATED ADD. (WAS 100 WHEATLEY DRIVE), ADDED BILLING ADD.& UPDATED AUTH. OFFICIAL ; 06/23/10 UPDATED ENTITY NAME (WAS SUMTER REGIONAL HOSPITAL)
06/23/2010
April 2025
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