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CAH251307-00 NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL (Active)
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Main Details
Name
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251307-00
Medicare Provider Number
251307
Additional Details
Current Program Status
Active
Registration Date
9/21/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/21/2010
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Noxubee General Critical Access Hospital
Meg Ebert, CEO
(662) 726-4231 Ext: 316
Primary Contact
Noxubee General Critical Access Hospital
Joshua Drew Holdiness, 340b Coordinator
(662) 788-4346
Addresses
Street Address
78 HOSPITAL RD
MACON, MS 39341
Billing Address
NOXUBEE GENERAL CRITICAL ACCESS HOSPITAL
P.O. BOX 480
MACON, MS 39341
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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