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DSH110024 CANDLER HOSPITAL (Active)
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Main Details
Name
CANDLER HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110024
Medicare Provider Number
110024
Additional Details
Current Program Status
Active
Registration Date
4/30/2008
Participating Start Date
10/1/2004
Participating Approval Date
4/30/2008
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Candler Hospital
PAUL P. HINCHEY, CEO
(912) 819-6901
Primary Contact
St. Joseph's/Candler
Tommy Harvey, Business Manager Pharmacy
(912) 819-8155
Addresses
Street Address
5353 REYNOLDS STREET
SAVANNAH, GA 31405
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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02/10/2012 removed medicaid # (was 00000327A); 3/17/10 SHIP TO ADDED
02/10/2012
3/17/10 SHIP TO ADDED
04/26/2010
May 2025
May 2025
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