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DSH110034A AU Medical Center, Inc. (Active)
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Main Details
Name
AU Medical Center, Inc.
Subdivision Name
Georgia Cancer Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110034A
Medicare Provider Number
110034
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/10/2010
Participating Start Date
4/1/2010
Participating Approval Date
3/15/2010
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
AU Medical Center, Inc.
Jennifer Moore Miller, VP, Strategy and Business Development
(706) 721-5250
Primary Contact
AU Medical Center, Inc.
Gerard Schick, Business Operations and 340B Manager
(706) 721-3979
Addresses
Street Address
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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