340B Drug Pricing Program Database
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CAH111320-00 HIGGINS GENERAL HOSPITAL (Active)
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Main Details
Name
HIGGINS GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH111320-00
Medicare Provider Number
111320
Additional Details
Current Program Status
Active
Registration Date
8/13/2010
Participating Start Date
9/30/2010
Participating Approval Date
8/13/2010
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Tanner Health System
Carol S. Crews, CFO
(770) 812-9745
Primary Contact
Tanner Health System
Emily Renee Allen, 340B Program Manager
(770) 812-8371
Addresses
Street Address
200 ALLEN MEMORIAL DRIVE
BREMEN, GA 30110
Billing Address
HIGGINS GENERAL HOSPITAL
ATTN: ACCOUNTS PAYABLE
100 Greenway Blvd
Suite A
CARROLLTON, GA 30117
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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