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DSH110226 DEKALB MEDICAL CENTER AT HILLANDALE - DBA EMORY HILLANDALE HOSPITAL (Active)
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Main Details
Name
DEKALB MEDICAL CENTER AT HILLANDALE - DBA EMORY HILLANDALE HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH110226
Medicare Provider Number
110226
Additional Details
Current Program Status
Active
Registration Date
9/22/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/23/2010
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Emory Decatur, Emory Hillandale
Lisa Urbistondo, Vice President & CFO
(404) 501-5025
Primary Contact
Emory Healthcare
Sydney Kchao, Corporate Director of Pharmacy, Business Operations and Finance
(404) 686-2147
Addresses
Street Address
2801 DEKALB MEDICAL PARKWAY
LITHONIA, GA 30058
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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