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CAH251325-00 COVINGTON COUNTY HOSPITAL (Active)
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Main Details
Name
COVINGTON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251325-00
Medicare Provider Number
251325
Additional Details
Current Program Status
Active
Registration Date
8/11/2010
Participating Start Date
8/18/2010
Participating Approval Date
8/11/2010
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Covington County Hospital
Gregg Gibbes, CEO
(601) 765-6711
Primary Contact
Covington County Hospital
JENNIFER PATTERSON, DIRECTOR OF PHARMACY
(601) 698-0109
Addresses
Street Address
701 SOUTH HOLLY STREET
COLLINS, MS 39428
Billing Address
COVINGTON COUNTY HOSPITAL
P.O. BOX 1149
COLLINS, MS 39428
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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