340B Drug Pricing Program Database
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DSH250104 ANDERSON REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
ANDERSON REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250104
Medicare Provider Number
250104
Additional Details
Current Program Status
Active
Registration Date
3/2/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/5/2009
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Baptist Memorial Health Care Corporation
Cyndi Pittman, VP Financial Operations
(901) 227-8480
Primary Contact
Baptist Memorial Health Care Corp
Donna C Cox, Director 340B
(901) 227-5144
Addresses
Street Address
2124 14th Street
MERIDIAN, MS 39301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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09/01/2011 - CHANGE ENTITY NAME, AUTHORIZING OFFICIAL, CONTACT PERSON
09/01/2011
April 2025
April 2025
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