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DSH440073 MAURY REGIONAL HOSPITAL (Active)
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Main Details
Name
MAURY REGIONAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH440073
Medicare Provider Number
440073
Additional Details
Current Program Status
Active
Registration Date
7/12/2022
Participating Start Date
7/20/2022
Participating Approval Date
7/21/2022
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Maury Regional Health
Martin Chaney, Chief Executive Officer
(931) 380-4008
Primary Contact
Maury Regional Outpatient Pharmacy
Drew Keller, Pharmacy Manager
(931) 381-1111 Ext: 1134
Addresses
Street Address
1224 TROTWOOD AVENUE
COLUMBIA, TN 38401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 4/1/2009, Termination Date 7/1/2013, Reinstatement 7/20/2022
07/20/2022
02/29/2012 added NPI; 2/10/09 - DOC RECEIVED TO CONFIRM ELIG DSH ADJ%
02/29/2012
2/10/09 - DOC RECEIVED TO CONFIRM ELIG DSH ADJ%
03/05/2009
May 2025
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