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DSH250078B FORREST GENERAL HOSPITAL (Active)
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Main Details
Name
FORREST GENERAL HOSPITAL
Subdivision Name
Forrest Health Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH250078B
Medicare Provider Number
250078
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
6/2/2010
Participating Start Date
7/1/2010
Participating Approval Date
6/3/2010
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Forrest General Hospital
Ben Hester, CFO
(601) 288-4225
Primary Contact
Forrest General Hospital
Teresa Rowley McDaniel, Director of Pharmacy
(601) 288-1485
Addresses
Street Address
301 SOUTH 28TH AVENUE
HATTIESBURG, MS 39401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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