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DSH110038 JOHN D ARCHBOLD MEMORIAL HOSPITAL (Active)
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Main Details
Name
JOHN D ARCHBOLD MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH110038
Medicare Provider Number
110038
Additional Details
Current Program Status
Active
Registration Date
4/11/2008
Participating Start Date
4/1/2016
Participating Approval Date
4/11/2008
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
John D. Archbold Memorial Hospital
Greg S. Hembree, CFO
(229) 228-2853
Primary Contact
John D. Archbold Memorial Hospital
Chris Newman, Vice President, Clinical and Support Services
(229) 228-2771
Addresses
Street Address
915 Gordon Avenue
THOMASVILLE, GA 31792
Billing Address
John D Archbold Memorial Hospital
920 Cairo Road
Thomasville, GA 31792
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Comments 3/15/16 Participated starting 7/1/2004, terminated 9/17/2013 due to inability to meet GPO requirements. Reinstated based on new registration submitted in January 2016.
03/15/2016
9/17/2013 site terminated for inability to meet GPO requirements JH 1/26/12 ADDED SHIP TO ADD
09/17/2013
1/26/12 ADDED SHIP TO ADD
04/11/2008
April 2025
April 2025
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