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DSH250077 WAYNE GENERAL HOSPITAL (Active)
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Main Details
Name
WAYNE GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250077
Medicare Provider Number
250077
Additional Details
Current Program Status
Active
Registration Date
3/2/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/15/2010
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Wayne General Hospital
Andrew Porter, CEO
(601) 735-5151 Ext: 100
Primary Contact
Wayne General Hospital
Clinton Eaves, CFO
(601) 735-7103
Addresses
Street Address
950 MATTHEW DRIVE
WAYNESBORO, MS 39367
Billing Address
Wayne General Hospital
P.O Box 1249
Waynesboro, MS 39367
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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